360CARE LLC — NPI 1417592536 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in LOUISVILLE, KY)

Plain-English Taxonomy Translation (122300000X)

What Does Taxonomy Code 122300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122300000X translates in plain language to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

Primary Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
When Patients Should Consult: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 360CARE LLC:

High-Volume Clinical Procedures & Diagnostics:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic & Prescribing Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1417592536 (NPI-2 Organization / Facility)
Provider / Legal Name	360CARE LLC
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `122300000X` (Dentist)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY, 402432404
Practice Telephone / Fax	Tel: 502-244-2441 \| Fax: 502-996-8282
Administrative Mailing Address	12910 SHELBYVILLE RD STE 128, LOUISVILLE, KY, 402431536
Enumeration & Last Sync	Enumerated: 2019-11-12 \| Updated: 2020-02-05
Authorized Official	RANDY AMMON (Manager)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY, 402432404

🗺️ Open in Google Maps & Parking ⚙️ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

🔒 Are you 360CARE LLC? Redact or update your phone/address in 1 click →

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`231H00000X` — Audiologist Plain English: Licensed & Credentialed Audiologist	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Nurse Practitioner	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Optometrist	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`213E00000X` — Podiatrist Plain English: Licensed & Credentialed Podiatrist	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`122300000X` — Dentist Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: N/A \| License: Verified \| Primary Taxonomy: Yes

360CARE LLC (NPI #1417592536)