Individual provider Active NPI

Katalin Monika Mechtler, DDS

  • Dentist
  • Lockport, NY
National Provider Identifier
1659446649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
042404 Issued in NY
Practice address
6507 Wheeler Rd
Founders Health
Lockport, NY 14094-9416
Phone
(716) 439-0477
Fax
(716) 439-0067
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 042404 NY Primary

Addresses

Primary practice location

6507 Wheeler Rd
Founders Health
Lockport, NY 14094-9416

Mailing address

6507 Wheeler Rd
Founders Health
Lockport, NY 14094-9416
Phone (716) 439-0477

Other identifiers 1

IdentifierTypeStateIssuer
0012766OtherNYDORAL DENTAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160630000903 NY Order and Referring Only - DentistPractitioner - Dentist 9739471384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042404NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659446649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 WHEELER RD",
            "address_2": "FOUNDERS HEALTH",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949416",
            "telephone_number": "716-439-0477",
            "fax_number": "716-439-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 WHEELER RD",
            "address_2": "FOUNDERS HEALTH",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949416",
            "telephone_number": "716-439-0477",
            "fax_number": "716-439-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHTLER",
        "first_name": "KATALIN",
        "middle_name": "MONIKA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "042404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "0012766",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

Verify at the official NPI Registry.