Michael G. Kitchen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036979 Issued in PA

Practice address

490 Susquehanna Ave
Curwensville, PA 16833-1448

Phone

(814) 236-3666

NPI assigned

Dec 4, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in PA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Susquehanna Family Dental, LLC

  • Dentist
  • Curwensville, PA
  • NPI 1598005639
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1043378110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E MAIN ST",
            "city": "MAHAFFEY",
            "state": "PA",
            "postal_code": "157576605",
            "telephone_number": "814-277-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 SUSQUEHANNA AVE",
            "city": "CURWENSVILLE",
            "state": "PA",
            "postal_code": "168331448",
            "telephone_number": "814-236-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHEN",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL",
            "identifier": "PA000000036979",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL INSURANCE CO. -TX",
            "identifier": "000036979PA",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "1901318",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guardian Elder Care at Curwensville LLC (Marion Manor)
• Kara Hoover, MS/CCC-SLP
• Barbara Johnson, CPHT
• Melanie Eileen Jordan, DDS
• Julianne N Kearney, CRNP
• Rose Marie Lee, MS, CCC-SLP
• Ashley Merjean Lindahl, DPT
• Sara Beth Mays, MSW, LCSW
• Jon McGary, D.C.
• Melanie E. Jordan, DDS, PC

• General Practice Dentistry in Curwensville, PA
• Providers in Curwensville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.