Michael P. Kovaleski, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-030397-L Issued in PA

Practice address

720 Limekiln Rd
New Cumberland, PA 17070-2358

Phone

(717) 774-6700

NPI assigned

Dec 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Susquehanna Dental West

  • Clinic/Center
  • New Cumberland, PA
  • NPI 1699718965
  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1285816066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LIMEKILN RD",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170702358",
            "telephone_number": "717-774-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 LIMEKILN RD",
            "city": "NEW CUMBERLAND",
            "state": "PA",
            "postal_code": "170702358",
            "telephone_number": "717-774-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALESKI",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-030397-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marsha J Knepp, BCBA
• Robert Krause, MPT
• Donna M. Kumpf, M.S., CCC-SLP
• Taylor J Lamb, D.M.D, M.S.
• LHM Physical Therapy Institute LLC
• Zhong De Li, PHARMD

• General Practice Dentistry in New Cumberland, PA
• Providers in New Cumberland, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.

Verify at the official NPI Registry.