Individual provider Active NPI

Mitchell Lawrence Kahn, D.M.D.

  • General Practice Dentistry
  • Yorktown Heights, NY
National Provider Identifier
1194974584
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037577-1 Issued in NY
Practice address
1940 Commerce Street
Suite 202
Yorktown Heights, NY 10598-4428
Phone
(914) 243-7373
Fax
(914) 245-0236
NPI assigned
Sep 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 037577-1 NY Primary

Addresses

Primary practice location

1940 Commerce Street
Suite 202
Yorktown Heights, NY 10598-4428

Mailing address

1940 Commerce Street
Suite 202
Yorktown Heights, NY 10598-4428
Phone (914) 243-7373

Medicare participation

Medicare enrollment files
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 Jun 8, 2016 through Jun 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
037577-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell L. Kahn DMD Past Accepting new patients
Marvel Smiles Yorktown Dental PLLC General Practice PastSince Mar 31, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1194974584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 COMMERCE STREET",
            "address_2": "SUITE 202",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984428",
            "telephone_number": "914-243-7373",
            "fax_number": "914-245-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 COMMERCE STREET",
            "address_2": "SUITE 202",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984428",
            "telephone_number": "914-243-7373",
            "fax_number": "914-245-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "MITCHELL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037577-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.