DR. JODIE LUSBY (NPI# 1033573415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033573415 |
| Entity Type | Individual |
| Full Name | DR. JODIE LUSBY |
| Credential | DMD |
| Practice Address |
4010 Dupont Cir Ste 524 St Matthews KY 40207-4888 |
| Mailing Address |
11400 Willow Branch Dr Louisville KY 40291-4529 |
| Practice Telephone | 5028979417 |
| Mailing Telephone | 8598162701 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2019-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
9779 | KY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3620 Blackiston Blvd Ste 150, New Albany, IN 471508540 | 8129480408 | |
| 501 S Preston St, Louisville, KY 402021701 | 5028525096 |
| Street Address |
4010 DUPONT CIR STE 524 |
| City | ST MATTHEWS |
| State | KY |
| Zip Code | 40207-4888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104440874 | Greg L Adams Dmd Ms Psc | Dentist | 2880 Farrell Cres, Owensboro, KY 42303-1392 | 2020-05-29 |
| 1811462336 | Lexington Periodontics and Implant Dentistry | Dentist | 620 Perimeter Dr Ste 201, Lexington, KY 40517-4125 | 2018-10-11 |
| 1447789029 | John Andrew Houston | Dentist | 5141 Dixie Hwy Ste 102, Louisville, KY 40216-1765 | 2017-06-07 |
| 1053767053 | Commonwealth Periodontics & Implant Center | Dentist | 1545 S Main St, London, KY 40741-2071 | 2016-05-09 |
| 1316272198 | Mark Allen King | Dentist | 107 Frazier Court, Suite 1d, Georgetown, KY 40324-8973 | 2009-10-12 |
| 1326285883 | Jeff Dickson | Dentist | 249 Greenbriar Rd, Lexington, KY 40503-4020 | 2009-01-20 |
| 1609013481 | Amjad Aldallal | Dentist | 3900 Crosby Dr Apt 2212, Lexington, KY 40515-1808 | 2009-01-15 |
| 1790977668 | Ward Thomas Piepgrass | Dentist | 3181 Beaumont Centre Cir, Lexington, KY 40513-1836 | 2007-08-15 |
| 1972714756 | Homing Kim | Dentist | 938 Louisville Rd, 200, Frankfort, KY 40601 | 2007-05-24 |
| 1710191317 | Carl N. Bauman | Dentist | 10228 Shelbyville Rd, Louisville, KY 40223-2978 | 2007-05-10 |
| Find all providers with the same taxonomy | ||||
| City | ST MATTHEWS |
| Zip Code | 40207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.