Active NPI
Madeline Neumayer Utterback, DMD
- General Practice Dentistry
- Fishkill, NY
National Provider Identifier
1437366499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 042806-1
- Practice address
- 1499 Route 52 Ste 25
Fishkill, NY 12524-1625 - Phone
- (845) 897-5140
- Fax
- (845) 897-5141
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 042806-1 | NY | Primary |
Addresses
Primary practice location
1499 Route 52 Ste 25
Fishkill, NY 12524-1625
Mailing address
1499 Route 52 Ste 25
Fishkill, NY 12524-1625
Phone (845) 897-5140
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 |
|---|---|---|---|---|
| I20150630000913 | NY | Order and Referring Only - Oral Surgery | 1850603101 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042806-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1437366499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1499 ROUTE 52 STE 25",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241625",
"telephone_number": "845-897-5140",
"fax_number": "845-897-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 ROUTE 52 STE 25",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241625",
"telephone_number": "845-897-5140",
"fax_number": "845-897-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTTERBACK",
"first_name": "MADELINE",
"middle_name": "NEUMAYER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "042806-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.