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NPI · 1629642079 · NPPES-sourced

Dr. Ethan Perellis DMD

ActiveGeneral Practice Dentistry
NPI Number
1629642079
Type 1 · Individual
Taxonomy Code
1223G0001X
Contact
(502) 412-5900
License KY · 10582
Last Updated
Enumerated
Primary practice addressKY · 40241-2295
9451 Westport Rd Ste 109Louisville, KY 40241-2295
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About this NPIWhat this record shows.

NPI 1629642079 is registered to Dr. Ethan Perellis DMD, a General Practice Dentistry practising at 9451 Westport Rd Ste 109 in Louisville, Kentucky. General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Ethan Perellis DMD has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Ethan Perellis DMD accepts. To confirm in-network status with your specific health plan, contact Dr. Ethan Perellis DMD directly at (502) 412-5900.

Frequently asked

Yes. NPI 1629642079 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (502) 412-5900.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Ethan Perellis DMD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy1223G0001X
Last updated
Enumerated
StatusActive
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