DR. FREDERICK RAY SWAIN (NPI# 1659374452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659374452 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK RAY SWAIN |
| Credential | D.D.S. |
| Practice Address |
4010 Dupont Cir Ste 529 Louisville KY 40207-4888 |
| Practice Telephone | 5028973239 |
| Practice Fax Number | 5028973476 |
| Mailing Telephone | 5028973239 |
| Mailing Fax Number | 5028973476 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2008-05-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
4519 | KY | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4519 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICAL ASSISTANCE | 4507 | 01 |
| IN | MEDICAL ASSISTANCE | 100010800A | 01 |
| KY | MEDICAL ASSISTANCE | 60045192 | 01 |
| IN | CRIPPLED CHILDREN'S SERVI | 200448 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362178 | Frederick Henry Swain | Podiatrist | 3 Laurel Ct, Smithfield, RI 02917-2101 | 2005-08-04 |
| Street Address |
4010 DUPONT CIR STE 529 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013402973 | Deshara C Doub | Social Worker | 4010 Dupont Cir, Louisville, KY 40207-4812 | 2018-06-24 |
| 1285145235 | Sandra Kay Decker | Nurse Practitioner | 4010 Dupont Cir, Ste 226, Louisville, KY 40207-4847 | 2017-10-17 |
| 1750830733 | Rebecca J Miller | Counselor | 4010 Dupont Cir, 582, Louisville, KY 40207-4812 | 2016-10-01 |
| 1649631706 | Nicole Elise Robinson | Marriage & Family Therapist | 4010 Dupont Cir, Suite 582, Louisville, KY 40207-4812 | 2016-03-16 |
| 1962861559 | Regina Denice Shelton | Counselor | 4010 Dupont Cir, Suite 379, Louisville, KY 40207-4812 | 2016-02-11 |
| 1679931570 | Michelle Fleming | Social Worker | 4010 Dupont Cir, Suite 379, Louisville, KY 40207-4812 | 2016-02-05 |
| 1275999245 | Leeann Pettis Strobel | Counselor | 4010 Dupont Cir, Suite 226, Louisville, KY 40207-4812 | 2016-01-06 |
| 1295109551 | Ariel Dew | Counselor | 4010 Dupont Cir, Louisville, KY 40207-4812 | 2015-11-23 |
| 1346614849 | Amy Halvorson | Social Worker | 4010 Dupont Cir, Suite 582, Louisville, KY 40207-4812 | 2015-11-20 |
| 1053783357 | Whitney Paige Hall | Counselor | 4010 Dupont Cir, Ste 582, Louisville, KY 40207-4812 | 2015-10-26 |
| Find all providers in the same location | ||||
| 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 | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518599802 | Derby City Pediatric Dentistry, Pllc | Dentist | 2120 High Wickham Pl Ste 103, Louisville, KY 40245-5903 | 2020-02-05 |
| 1588204655 | Kids Dentistree of Ky LLC | Dentist | 8727 Old Bardstown Rd, Louisville, KY 40291-4490 | 2020-01-07 |
| 1780141580 | Morgan Marie Nowery | Dentist | 134 Gillette Ave, Louisville, KY 40214-1914 | 2019-02-27 |
| 1578030995 | Huda Hussain Alkuhl | Dentist | 501 S Preston St Fl 3, Louisville, KY 40202-1701 | 2018-10-24 |
| 1083144265 | Kelly Wessel | Dentist | 4413 Santa Paula Ln, Louisville, KY 40219-3820 | 2017-06-19 |
| 1548620560 | Myron F Shuster Dmd Psc | Dentist | 3101 Breckenridge Ln Ste 4b, Louisville, KY 40220-2797 | 2016-03-03 |
| 1396138616 | Uday K Bahunutula | Dentist | 2002 Fandango Ct, Louisville, KY 40245-5441 | 2015-03-11 |
| 1255757852 | Dupont Pediatric Dentistry | Dentist | 1001 Dupont Square North, Louisville, KY 40207 | 2014-03-07 |
| 1659610269 | Kids Dentistry- Dixie Highway Pllc | Dentist | 9707 Dixie Hwy, B, Louisville, KY 40272-3939 | 2013-02-04 |
| 1821317132 | Jenna R Schulten | Dentist | 1001 N Dupont Sq, Louisville, KY 40207-4612 | 2010-05-26 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on DR. FREDERICK RAY SWAIN.
| 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.