VITALIA I KADYLAK (NPI# 1144537424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144537424 |
| Entity Type | Individual |
| Full Name | VITALIA I KADYLAK |
| Credential | DDS |
| Practice Address |
3438 Taylor Blvd Louisville KY 40215-2648 |
| Mailing Address |
Po Box 2369 Anniston AL 36202-2369 |
| Practice Telephone | 5023664442 |
| Practice Fax Number | 5023664446 |
| Mailing Telephone | 2567417340 |
| Mailing Fax Number | 2567417373 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2016-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9135 | KY | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9135 | KY | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
DE60175861 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100198760 | 05 | |
| KY | MCNA | 25281 | 01 |
| Street Address |
3438 TAYLOR BLVD |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386749703 | Melanie Renee Abrams | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2006-09-13 |
| 1679051809 | Brooke Elizabeth Shelton | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2018-07-31 |
| 1235580937 | John Quinn Martino | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2016-06-24 |
| 1205219318 | Eom Ji Lee | Dentist | 3438 Taylor Blvd, Louisville, KY 40215 | 2015-07-07 |
| 1194103127 | Community Care of Kentucky, Inc | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2015-05-11 |
| 1851779888 | Community Care of Kentucky, Inc | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2015-05-11 |
| 1215327994 | Community Care of Kentucky, Inc. | Pediatrics | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2015-02-02 |
| 1407260052 | Community Care of Kentucky Inc. | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2014-06-11 |
| 1881014850 | Kacie Bowles Sharpe | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2014-04-17 |
| 1720308828 | Rohini Ketan Shah | Dentist | 3438 Taylor Blvd, Louisville, KY 40215-2648 | 2010-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| 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 | 40215 |
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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.