DR. CHRISTOPHER E NOONAN (DMD MD) – Oral and Maxillofacial Surgery (Dentist), NPI 1700879095
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
33 ORAL SURGERY in KY
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Provider Addresses for DR. CHRISTOPHER E NOONAN (DMD MD)
2800, Cannons Lane, Louisville, Jefferson County, Kentucky, 40205, United States
STE 100
LOUISVILLE, KY 40205
Phone: (502) 454-4885
Fax: (502) 452-1926
Type: Mailing
225, Abraham Flexner Way, Louisville, Jefferson County, Kentucky, 40202, United States
STE 302
LOUISVILLE, KY 402021882
Phone: (502) 587-7874
Fax: (502) 587-0758
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2023-01-13 • Largest payer in this snapshot: Dentsply Sirona Inc ($39).
Total Amount
$39
General + Research + Ownership
Payments
1
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dentsply Sirona Inc | $39 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050715000063 | I | Maxillofacial Surgery | KY | TBD |
| I20180207000269 | I | Oral Surgery | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery | KY | |
| Maxillofacial Surgery, Oral Surgery | KY | |
| Oral Surgery, Maxillofacial Surgery | KY |
Reviews
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