OrganizationActive
Community Care of Kentucky, Inc
NPI 1194103127 · General Practice Dentistry · Louisville, KY
Community Care of Kentucky, Inc is a General Practice Dentistry organization in Louisville, KY (NPI 1194103127).
Provider details
- NPI number
- 1194103127
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Community Care of Kentucky, Inc
- Organization subpart
- Yes
- Authorized official
- Mandy Holland, Credentialing Manager(256) 504-3326
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3438 Taylor Blvd
Louisville, KY 40215-2648
Phone: (502) 366-4442
Fax: (502) 366-4446
Street-level locationGet directions
Mailing address
Po Box 2369
Anniston, AL 36202-2369
Other names (DBA / former)
- Other name
- Kentucky05
Registry dates
- Enumerated
- 2015-05-11
- Last updated
- 2015-05-11
Frequently asked questions
- What is Community Care of Kentucky, Inc's NPI number?
- Community Care of Kentucky, Inc's National Provider Identifier (NPI) is 1194103127, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Care of Kentucky, Inc?
- Community Care of Kentucky, Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Community Care of Kentucky, Inc located?
- Community Care of Kentucky, Inc's practice location on file with NPPES is 3438 Taylor Blvd, Louisville, KY 40215-2648.
- What is Community Care of Kentucky, Inc's phone number?
- The practice phone number listed in the NPPES registry for Community Care of Kentucky, Inc is (502) 366-4442.
- Who is the authorized official for Community Care of Kentucky, Inc?
- The authorized official listed on Community Care of Kentucky, Inc's NPPES record is Mandy Holland, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Care of Kentucky, Inc's NPI active?
- Yes — Community Care of Kentucky, Inc's NPI (1194103127) is active in the NPPES registry as of the last update on 2015-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.