Individual provider Active NPI

Micheal Joseph Telehany, D.D.S.

  • Dentist
  • Rushville, NY
National Provider Identifier
1396790333
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
044590-1 Issued in NY
Practice address
2 Rubin Dr
Rushville, NY 14544-9681
Phone
(585) 554-4400
Fax
(585) 554-3342
NPI assigned
May 24, 2006
Last updated
Mar 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 044590-1 NY Primary

Addresses

Primary practice location

2 Rubin Dr
Rushville, NY 14544-9681

Mailing address

2 Rubin Dr
Rushville, NY 14544-9681
Phone (585) 554-4400

Other identifiers 1

IdentifierTypeStateIssuer
01406642MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200602000999 PA Practitioner - Dentist 2264853183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044590-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services CurrentSince Apr 2, 2020 Accepting new patients
North Penn Comprehensive Health Services CurrentSince Apr 2, 2020 Accepting new patients
North Penn Comprehensive Health Services Current Accepting new patients

Locations

32 E Lawrence Rd
Lawrenceville, PA 16929
Phone (570) 827-0125

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1396790333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RUBIN DR",
            "city": "RUSHVILLE",
            "state": "NY",
            "postal_code": "145449681",
            "telephone_number": "585-554-4400",
            "fax_number": "585-554-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RUBIN DR",
            "city": "RUSHVILLE",
            "state": "NY",
            "postal_code": "145449681",
            "telephone_number": "585-554-4400",
            "fax_number": "585-554-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELEHANY",
        "first_name": "MICHEAL",
        "middle_name": "JOSEPH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044590-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01406642",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rushville, NY

Sources for this page

Verify at the official NPI Registry.