Michael Francis Gengo, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

058088 Issued in NY

Practice address

4001 Legion Dr
Hamburg, NY 14075-4507

Phone

(716) 815-3636

Fax

(716) 815-3637

NPI assigned

Aug 4, 2015

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NY

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

Locations

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.

• Queen City Endodontics

  • Endodontics
  • Hamburg, NY
  • NPI 1730751637
  NPD Authorized official

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1508242231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 LEGION DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754507",
            "telephone_number": "716-553-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 LEGION DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754507",
            "telephone_number": "716-815-3636",
            "fax_number": "716-815-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENGO",
        "first_name": "MICHAEL",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "058088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori L. Geisler, RPH
• Brenna Gelen, PHARMD
• Robin Lynn Genco, LMT
• Genesee Valley Group Health Assoc (Lifetime Health Medical Group)
• Genesee Valley Group Health Association (Lifetime Health Medical Group)
• Kajsa Yvonne Genzel
• Chelsea George, FNP
• Emily A George
• Casey Giarrano
• Jade Gier

• Endodontics in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.