Active NPI
Karen Jo Delaney, DDS
- Dentist
- Calais, ME
National Provider Identifier
1104205772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN4422
- Practice address
- 399 Main St
Calais, ME 04619-1859 - Phone
- (207) 454-2350
- Fax
- (207) 454-2897
- NPI assigned
- May 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
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.
-
- Exclusive Provider Organization
- Calais, ME
- NPI 1053791301
-
- Dental Clinic/Center
- Calais, ME
- NPI 1407330467
-
- Dentist
- Calais, ME
- NPI 1164636031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161128000167 | ME | Order and Referring Only - Oral Surgery | 7416236930 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William R. Gould, D.D.S., L.L.C. | Dentist | Past | Accepting new patients |
| Karen J Delaney DDS | Past | Accepting new patients | |
| Katahdin Family Dental LLC | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN4422 | ME | Primary |
| Public Health Dentistry | 1223D0001X | DEN4422 | ME |
Addresses
NPPES NPI RegistryPrimary practice location
399 Main St
Calais, ME 04619-1859
Mailing address
254 South St
Calais, ME 04619-1322
Phone (207) 454-2350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2016.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1104205772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 SOUTH ST",
"city": "CALAIS",
"state": "ME",
"postal_code": "046191322",
"telephone_number": "207-454-2350",
"fax_number": "207-454-2897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "399 MAIN ST",
"city": "CALAIS",
"state": "ME",
"postal_code": "046191859",
"telephone_number": "207-454-2350",
"fax_number": "207-454-2897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELANEY",
"first_name": "KAREN",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ME",
"license": "DEN4422",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "ME",
"license": "DEN4422",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Calais, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.