Individual provider Active NPI

Karen Jo Delaney, DDS

  • Dentist
  • Calais, ME
National Provider Identifier
1104205772
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN4422 Issued in ME
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128000167 ME Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416236930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Dentist 122300000X DEN4422 ME Primary
Public Health Dentistry 1223D0001X DEN4422 ME

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.