Active NPI
Joel A Carangelo, DDS
- General Practice Dentistry
- Webster, NY
National Provider Identifier
1427138916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 047081
- Practice address
- 1991 Empire Blvd
Webster, NY 14580-1982 - Phone
- (585) 347-4884
- Fax
- (585) 394-1938
- NPI assigned
- Oct 17, 2006
- Last updated
- Apr 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 047081 | NY | Primary |
Addresses
Primary practice location
1991 Empire Blvd
Webster, NY 14580-1982
Mailing address
1991 Empire Blvd
Webster, NY 14580-1982
Phone (585) 347-4884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02276653 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160127000408 | NY | Order and Referring Only - Dentist | 2264735125 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047081 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1427138916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 EMPIRE BLVD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145801982",
"telephone_number": "585-347-4884",
"fax_number": "585-347-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1991 EMPIRE BLVD",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145801982",
"telephone_number": "585-347-4884",
"fax_number": "585-394-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARANGELO",
"first_name": "JOEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "047081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02276653",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Webster, NY
- Patricia Ann Campo, OTR
- Raquel Cantillo, DDS, MS
- Peter N Capicotto, MD
- Michele M Caponi, NCC, LPC
- Mary M Capparelli, NP
- Care Coordination Partners of Upstate Ny, LLC (Prime Care Coordination, LLC)
- Faith Marie Carini-Graves, PMHNP(PSYCHIATRIC)
- Carl M Santo DDS PC
- James Carney, LCSW-R
- Sara Carpenter, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.