360care LLC
NPI 1417592536ActiveOrganization· Dentist· Louisville, KY
Dentist in Louisville, Kentucky, registered in NPPES in November 2019. The authorized official on file is Randy Ammon, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417592536 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2019 |
| Last updated in NPPES | Feb 5, 2020 |
| Certified by provider | Feb 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
| Optometrist | 152W00000X | — | — |
| Podiatrist | 213E00000X | — | — |
| Audiologist | 231H00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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