DR. CHRISTOPHER E NOONAN DMD MD NPI 1700879095

NPI Information

NPI: 1700879095
Provider Name: DR. CHRISTOPHER E NOONAN, DMD MD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
225 ABRAHAM FLEXNER WAY
STE 302
LOUISVILLE, KY
ZIP 40202
Phone: (502) 587-7874
Get Directions

DR. Christopher E Noonan, DMD MD is an oral and maxillofacial surgery dentist in Louisville, KY with 22 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Christopher E Noonan, DMD MD NPI is 1700879095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

225 ABRAHAM FLEXNER WAY
STE 302
LOUISVILLE, KY
ZIP 40202-882
Phone: (502) 587-7874
Fax: (502) 587-0758

The NPI 1700879095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/23/2005 and was last updated on 6/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	7486	KENTUCKY	Yes
2	204E00000X	Oral & Maxillofacial Surgery		MD-39508	KENTUCKY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000364871	OTHER	KENTUCKY	BCBS
2	0906803	MEDICARE PIN	KENTUCKY
3	60003274	MEDICAID	KENTUCKY
4	64098635	MEDICAID	KENTUCKY
5	I33115	MEDICARE UPIN
6	200521540	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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