Organization Active NPI

Michael L Cahoon DMD PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Lewes, DE
National Provider Identifier
1154339075
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
G1-0000944 Issued in DE
Legal business name
MICHAEL L CAHOON DMD PA
Practice address
750 Kings Hwy
Ste 107
Lewes, DE 19958-1772
Phone
(302) 644-4171
Fax
(302) 644-4314
NPI assigned
Aug 4, 2006
Last updated
May 27, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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

Authorized official

Name
Dr. Machael L Cahoon, DMD
Title
Owner/Pres/Dr
Phone
(302) 644-4171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X G1-0000944 DE Primary

Addresses

Primary practice location

750 Kings Hwy
Ste 107
Lewes, DE 19958-1772

Mailing address

750 Kings Hwy
Ste 107
Lewes, DE 19958-1772
Phone (302) 644-4171

Other identifiers 1

IdentifierTypeStateIssuer
0000911802MedicaidDE

National Provider Directory

National Provider Directory

Locations

750 Kings Hwy
Ste 107
Lewes, DE 19958
Phone (302) 644-4171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1154339075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 KINGS HWY",
            "address_2": "STE 107",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581772",
            "telephone_number": "302-644-4171",
            "fax_number": "302-644-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KINGS HWY",
            "address_2": "STE 107",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581772",
            "telephone_number": "302-644-4171",
            "fax_number": "302-644-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L CAHOON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "CAHOON",
        "authorized_official_first_name": "MACHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRES/DR",
        "authorized_official_telephone_number": "302-644-4171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DE",
            "license": "G1-0000944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000911802",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.