UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
NPI 1861413098
Dentist - General Practice in Louisville, KY

Active since July 22, 2006
501 S PRESTON ST, LOUISVILLE, KY 40202(502) 852-5096(502) 852-1110 Get Directions Write a Review

NPPES record last updated: July 26, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About University Of Louisville School Of Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY (NPI 1861413098) is a healthcare organization registered as a general practice in Louisville, Kentucky and active in the NPI registry since July 2006. The organization lists Timothy C Daugherty, Assoc Dean For Clinical Affairs, as its authorized official.

NPPES Registry Identity

NPI1861413098
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameUNIVERSITY OF LOUISVILLE
Location Address501 S PRESTON STLouisville, KY 40202-1701
Mailing Address501 S Preston StLouisville, KY 40202-1701 · (502) 852-5128 · Fax (502) 852-7163
Fax(502) 852-1110
Organization SubpartYesParent: The University Of Louisville
Authorized OfficialTimothy C DaughertyAssoc Dean For Clinical Affairs · (502) 852-0982
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 26, 2017
✔ NPI 1861413098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Oral and Maxillofacial PathologyTaxonomy 1223P0106X
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
Also ListedDentist · Oral and Maxillofacial RadiologyTaxonomy 1223X0008X
501 S PRESTON ST, Louisville, KY 40202

Other Names 1

Doing Business AsUniversity Of Louisville School Of Dentistry

Other Identifiers 6

Other1048739KY · Passport Health Plan
Other1151798KY · Passport Health Plan Suhd
Other1049975KY · Passport Health Plan Fpp
Medicaid61940102KY
Medicare PIN0530KY
Medicaid100001450AIN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

University Of Louisville School Of Dentistry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to University Of Louisville School Of Dentistry, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 12 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dentist5
Maxillofacial Surgery4
Oral Surgery4
Pathology1

Clinicians, nearest first (14)

Maxillofacial Surgery
NPI 1902251358
501 S PRESTON ST
Louisville, KY 40202
(502) 852-5401
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1659321495
501 S PRESTON ST SCHOOL OF DENTISTRY, SUITE 334
Louisville, KY 40292
(502) 852-5083
✔ PECOSSame address
Dentist
NPI 1124510581
501 S PRESTON ST
Louisville, KY 40202
(336) 707-7131
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1841824604
501 S PRESTON ST
Louisville, KY 40202
(502) 852-5401
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1518917343
501 S. PRESTON ST. SCHOOL OF DENTISTRY, SUITE 334
Louisville, KY 40292
(502) 852-4171
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1861442071
501 S PRESTON ST
Louisville, KY 40202
(028) 525-8385
✔ PECOSSame address
Oral Surgery
NPI 1922299387
SCHOOL OF DENTISTRY 501 SOUTH PRESTON STREET FACULTY PRACTICE, SUITE 334
Louisville, KY 40292
(502) 852-5401
✔ PECOS✔ Accepts MedicareSame address
Oral Surgery
NPI 1356452874
UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY 501 S. PRESTON ST.
Louisville, KY 40292
(502) 852-5128
✔ PECOSSame address
Dentist
NPI 1598789786
UNIV OF LOUISVILLE SCHOOL OF DENTISTRY 501 S. PRESTON STREET
Louisville, KY 40292
(502) 852-1226
✔ PECOSSame address
Maxillofacial Surgery
NPI 1093738106
401 E CHESTNUT ST SUITE 550
Louisville, KY 40202
(502) 852-5401
✔ PECOS✔ Accepts Medicare0.1 mi
Dentist
NPI 1982672150
529 S JACKSON ST BROWN CANCER CENTER STE 127
Louisville, KY 40202
(502) 852-5747
✔ PECOS✔ Accepts Medicare0.1 mi
Maxillofacial Surgery
NPI 1730382722
3935 DUPONT CIRCLE STE D
Louisville, KY 40207
(502) 897-0424
✔ PECOS✔ Accepts Medicare6.3 mi
Maxillofacial Surgery
NPI 1699776690
8901 WISCONSIN AVE
Bethesda, MD 20889
(301) 295-5828
✔ PECOS471 mi
3302 GASTON AVE
Dallas, TX 75246
(214) 828-8396
✔ PECOS✔ Accepts Medicare726 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Of Louisville's NPI number?

The NPI number for University Of Louisville is 1861413098. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as University Of Louisville School Of Dentistry.

Where is University Of Louisville located?

University Of Louisville is located at 501 S Preston St, Louisville, KY 40202. The listed phone number is (502) 852-5096.

What is University Of Louisville's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is University Of Louisville enrolled in Medicare?

Yes. University Of Louisville is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through University Of Louisville?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 4 Medicare specialties reassign their Medicare billing to University Of Louisville. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dentist (5), Maxillofacial Surgery (4) and Oral Surgery (4). Of these, 9 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does University Of Louisville accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and DentaQuest USA Insurance and 3 other insurers list University Of Louisville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Of Louisville was last updated on July 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.