DR. WENDY STAVRIDES HUPP (NPI# 1326043555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326043555 |
| Entity Type | Individual |
| Full Name | DR. WENDY STAVRIDES HUPP |
| Credential | D.M.D. |
| Practice Address |
501 S Preston St Louisville KY 40202-1701 |
| Mailing Address |
7208 Woolrich Rd Louisville KY 40222-6527 |
| Practice Telephone | 5028526353 |
| Practice Fax Number | 5028521220 |
| Mailing Telephone | 5024293834 |
| Mailing Fax Number | 5028521220 |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2008-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 24173 | PA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8535 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100017440 | 05 | |
| KY | DORAL DENTAL | 9202491 | 01 |
| KY | PASSPORT HEALTH PLAN | 50017591 | 01 |
| Street Address |
501 S PRESTON ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393183 | Timothy Michael Haffner | Student in an Organized Health Care Education/Training Program | 501 S Preston St, Louisville, KY 40202-1701 | 2020-03-30 |
| 1174166821 | Muhammad Saleh | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-10-25 |
| 1639729593 | Gustavo Machado Santaella | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-09-12 |
| 1235796988 | Daniel Flaherty Ritchey | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-05-28 |
| 1184280778 | Jonathan Thomas | Student in an Organized Health Care Education/Training Program | 501 S Preston St, Louisville, KY 40202-1701 | 2019-05-20 |
| 1669939559 | Evan M Harpster | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-02-27 |
| 1275099624 | Aikaterini Kavvadia | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2019-02-11 |
| 1316431372 | Parker Haycock | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2018-06-21 |
| 1679066526 | Troy Bancha Tran | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2018-06-14 |
| 1558854661 | Gabriela Garza Covarrubias | Dentist | 501 S Preston St, Louisville, KY 40202-1701 | 2018-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235781485 | Rylie Mike-mayer | Dentist | 302 Axis Dr Apt 401, Louisville, KY 40206-0139 | 2019-07-09 |
| 1922580653 | Advanced Dental Center, Inc. | Dentist | 1901 Rudy Ln Ste 4, Louisville, KY 40207-1384 | 2018-08-29 |
| 1043701451 | Diana H Tran | Dentist | 501 S Preston St Rm 148, Louisville, KY 40202-1701 | 2018-05-21 |
| 1992295653 | Tyler Benton Blount | Dentist | 8013 New La Grange Rd Ste 6, Louisville, KY 40222-4700 | 2018-05-17 |
| 1407346901 | Louisville Dental Associates LLC | Dentist | 16701 E Main St, Louisville, MS 39339-2751 | 2018-05-10 |
| 1194238816 | Dental Services of Kentucky, Psc | Dentist | 2011 Grinstead Dr Unit 102, Louisville, KY 40204-1296 | 2017-11-16 |
| 1366963373 | Caleb William Reece | Dentist | 2201 Biljana Dr Apt 1, Louisville, KY 40206-2175 | 2017-06-29 |
| 1205366846 | Triple Crown Dentistry | Dentist | 904 Lily Creek Road, Suite 101, Louisville, KY 40243 | 2017-06-15 |
| 1740733559 | Jonathan Mitchell, Dmd, Psc | Dentist | 1716 Gardiner Ln, Louisville, KY 40205-2738 | 2016-07-27 |
| 1215389168 | Charles Kendrick Bunch | Dentist | 1030 Mulberry St, Louisville, KY 40217-1253 | 2016-07-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on DR. WENDY STAVRIDES HUPP.
| 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.