DR. SANDRA L. PAYNE (NPI# 1710072137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710072137 |
| Entity Type | Individual |
| Full Name | DR. SANDRA L. PAYNE |
| Credential | DMD |
| Practice Address |
John P Rakutt Dmd Psc 801 Barret Avenue #107 Louisville KY 40204 |
| Practice Telephone | 5025822004 |
| Practice Fax Number | 5025822032 |
| Mailing Telephone | 5025822004 |
| Mailing Fax Number | 5025822032 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | KY6437 | KY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 60064375 | 05 | |
| KY | DORAL | 0004999 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083104947 | Sandra Payne | Physical Therapist | 1221 Pine Grove Ave, Port Huron, MI 48060-3511 | 2018-05-16 |
| 1770958944 | Sandra Payne | Counselor | 4501 Prime Pkwy, Mchenry, IL 60050-7000 | 2015-12-14 |
| 1518209279 | Sandra Kay Payne | Social Worker | 527 Cobb St, Cadillac, MI 49601-2540 | 2013-03-20 |
| 1073705430 | Sandra Lee Payne | Nurse Practitioner | 1010 Highway 17 N, North Myrtle Beach, SC 29582-2806 | 2007-08-09 |
| 1619018710 | Sandra Kay Payne | Pharmacist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2007-02-09 |
| 1487629960 | Sandra C Payne | Nurse Practitioner | 3209 Colonial Dr, Columbia, SC 29203-6930 | 2006-02-20 |
| Street Address |
JOHN P RAKUTT DMD PSC 801 BARRET AVENUE #107 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619434974 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Centerstone Broadway, 914 East Broadway Suite 200, Louisville, KY 40204 | 2019-02-22 |
| 1821317975 | Abby Fowler | Social Worker | 1357 Bardstown Rd, Louisville, KY 40204 | 2010-05-27 |
| 1033317441 | Katrina Laflesh | Counselor | 914 East Broadway, 3rd Floor, Louisville, KY 40204 | 2007-07-06 |
| 1770790891 | Richard Brooks | Counselor | 914 East Broadway 1st, Louisville, KY 40204 | 2007-05-17 |
| 1447302922 | Walden Chiropractic Psc | Chiropractor | 1072 Bardstown Road, Louisville, KY 40204 | 2007-01-17 |
| 1053485938 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1023 E Broadway, Louisville, KY 40204 | 2006-11-20 |
| 1013017482 | Bonnie L Varisco | Social Worker | 914 E. Broadway, 2nd, Louisville, KY 40204 | 2006-09-25 |
| 1902854334 | Kevin B Spicer | Pediatrics | 834 E Broadway, Louisville, KY 40204 | 2006-05-05 |
| 1992777213 | Donna Maclain Stewart | Pathology | Office of The Chief Medical Examiner;urban Government C, 810 Barret Ave, Louisville, KY 40204 | 2006-02-02 |
| 1700867512 | Gabor Steven Vargo | Dentist | 1250 Bardstown Road, Suite 11, Louisville, KY 40204 | 2005-11-09 |
| Find all providers in zip 40204 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869878 | Miram Shaheen | Dentist | 600 Marshall St Unit 128, Louisville, KY 40202-3618 | 2020-10-19 |
| 1396351243 | Haaken Reed Magnuson | Dentist | 4600 Taylorsville Rd, Louisville, KY 40220-3530 | 2020-09-16 |
| 1629687181 | Joanna Higdon | Dentist | 4122 Shelbyville Rd Ste 103, Louisville, KY 40207-3206 | 2020-07-30 |
| 1386253847 | Hannah Pope | Dentist | 6801 Dixie Hwy Ste 128, Louisville, KY 40258-3940 | 2020-07-29 |
| 1801404256 | William Jacob Brown | Dentist | 335 W South Boulder Rd Ste 4, Louisville, CO 80027-1192 | 2020-07-21 |
| 1144838764 | My Smile Dental Services, Pllc | Dentist | 5014b Preston Hwy, Louisville, KY 40213-2217 | 2020-07-20 |
| 1164068722 | Kentucky On-site Dental Services LLC | Dentist | 307 Longview Park Pl, Louisville, KY 40245-6217 | 2019-11-19 |
| 1700448875 | Elizabeth Anne Riordan | Dentist | 701 Sunnyside Dr, Louisville, KY 40206-2922 | 2019-06-28 |
| 1669031381 | Adam Jatin Parikh | Dentist | 2400 Mellwood Ave Apt 927, Louisville, KY 40206-1066 | 2019-06-06 |
| 1689232175 | Paige Higdon Cogan | Dentist | 1009 Alta Vista Rd, Louisville, KY 40205-1727 | 2019-05-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40204 |
Please comment or provide details below to improve the information on DR. SANDRA L. PAYNE.
| 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.