Michael D Ehlers, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039829 Issued in NY

Practice address

800 Harlem Rd
Suite 400
West Seneca, NY 14224-1083

Phone

(716) 824-5857

Fax

(716) 824-5890

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Western New York Dental Group, PC

  • General Practice Dentistry
  • W Seneca, NY
  • NPI 1255406526
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023006012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LAWRENCE BELL DR",
            "address_2": "SUITE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217817",
            "telephone_number": "716-634-4679",
            "fax_number": "716-634-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HARLEM RD",
            "address_2": "SUITE 400",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142241083",
            "telephone_number": "716-824-5857",
            "fax_number": "716-824-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHLERS",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00941891",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Harry Eckhert III, M.D.
• Eddie Mas MDPC
• Eden Heights of West Seneca Operating LLC
• Mary Eder, RPA-C
• James Egnatchik, MD
• Tracy Lynn Eichelberger
• Mary Margaret Eickhoff, LPN
• Sanford Harris Eisen, DDS
• Kathleen Susan Eisenried, LCSW
• Elderwood Village at Westwood

• General Practice Dentistry in West Seneca, NY
• Providers in West Seneca, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.