Individual provider Active NPI

Michael Alfred Chaney, D.D.S.

  • Endodontics
  • Somerset, PA
National Provider Identifier
1588874416
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DS-024602-L Issued in PA
Practice address
131 N Rosina Ave
Somerset, PA 15501-1505
Phone
(814) 443-1481
Fax
(814) 443-4233
NPI assigned
May 22, 2007
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS-024602-L PA Primary

Addresses

Primary practice location

131 N Rosina Ave
Somerset, PA 15501-1505

Mailing address

PO Box 1206
131 N. Rosina Ave.
Somerset, PA 15501-0354
Phone (814) 443-1481

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 Jan 21, 2019 through Jan 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-024602-LPAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Dental Specialists Endodontics 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1588874416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "address_2": "131 N. ROSINA AVE.",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155010354",
            "telephone_number": "814-443-1481",
            "fax_number": "814-443-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N ROSINA AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011505",
            "telephone_number": "814-443-1481",
            "fax_number": "814-443-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "MICHAEL",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS-024602-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.