Michael Richard Kertes, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS030789L Issued in PA

Practice address

2320 Eastern Blvd
York, PA 17402-2817

Phone

(717) 600-8866

NPI assigned

Aug 31, 2006

Last updated

May 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 12, 2015 through May 12, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• York Endodontics, PC

  • Endodontics
  • York, PA
  • NPI 1578783320
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1184735847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022817",
            "telephone_number": "717-600-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022817",
            "telephone_number": "717-600-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTES",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS030789L",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS030789L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Lee Kerchner, M.D.
• Andrew Eli Kerman, D.O.
• Dana Kern, NP
• Shannon Louise Kern, PT
• Shannon Kerns, M.S.; LBS
• Shirley Delos Santos Kessler
• Abigale Ketterman, MS, LAT, ATC, CES
• Megan E Ketterman, BS PHARMD RPH
• Keystone Anesthesia Services, PC
• Keystone Eye Care GRP, LLC

• Endodontics in York, PA
• Providers in York, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.