Michael Anthony Ledonne, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

060980 Issued in NY

Practice address

545 E Bruceton Rd
PGH, PA 15236-4521

Phone

(412) 655-3008

Fax

(412) 653-9132

NPI assigned

Aug 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Millennium Children Home Care

  • Home Health Agency
  • Poughkeepsie, NY
  • NPI 1801432935
  NPD (past)

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

{
    "created_epoch": "1123891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1508868076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E BRUCETON RD",
            "city": "PGH",
            "state": "PA",
            "postal_code": "152364521",
            "telephone_number": "412-655-3008",
            "fax_number": "412-653-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E BRUCETON RD",
            "city": "PGH",
            "state": "PA",
            "postal_code": "152364521",
            "telephone_number": "412-655-3008",
            "fax_number": "412-653-9132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 Vischer Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120653668",
            "country_code": "US",
            "telephone_number": "518-383-4484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDONNE",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-13",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS018427L",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "060980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Sung Hom, M.D.
• Diana U Ike, MD
• Benjamin Kalsmith, MD.
• Frances R Keltz, RD, LDN
• Frank J Koziara II, M.D.
• Gary William Machiko, DMD
• Kevin M Marren, CRNP, MSN
• Maria T Matsuda, MD
• Sara Marie Niederberger, MD
• Relax at Home Health Care Inc.

• Pediatric Dentistry in PGH, PA
• Providers in PGH, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.