Individual provider Active NPI

Joshua L Demichele, DDS

  • General Practice Dentistry
  • Niagara Falls, NY
National Provider Identifier
1396810347
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
050971 1 Issued in NY
Practice address
Niagara Qualitycare Dentistry
8875 Porter Road
Niagara Falls, NY 14304
Phone
(716) 297-5500
Fax
(726) 297-5559
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 050971 1 NY Primary

Addresses

Primary practice location

Niagara Qualitycare Dentistry
8875 Porter Road
Niagara Falls, NY 14304

Mailing address

Niagara Qualitycare Dentistry
8875 Porter Road
Niagara Falls, NY 14304
Phone (716) 297-5500

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 Apr 26, 2015 through Apr 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
050971 1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James H Midkiff DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396810347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NIAGARA QUALITYCARE DENTISTRY",
            "address_2": "8875 PORTER ROAD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14304",
            "telephone_number": "716-297-5500",
            "fax_number": "716-297-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NIAGARA QUALITYCARE DENTISTRY",
            "address_2": "8875 PORTER ROAD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "14304",
            "telephone_number": "716-297-5500",
            "fax_number": "726-297-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMICHELE",
        "first_name": "JOSHUA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050971 1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

Verify at the official NPI Registry.