Kathleen Elizabeth Poleon, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0506131 Issued in NY

Practice address

880 Westfall Rd
Suite C
Rochester, NY 14618-2611

Phone

(716) 909-1470

NPI assigned

Jun 17, 2005

Sex

Female

Sole proprietor

No

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

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.

• Park Dental Associates, PLLC

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1215055314
  NPD (past) Authorized official

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679578447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 GROTON DR APT 4",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142282547",
            "telephone_number": "716-909-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 WESTFALL RD",
            "address_2": "SUITE C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182611",
            "telephone_number": "716-909-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEON",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0506131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Polandick, RPH
• Polar Opposites Integrative Therapies LLC
• Maya Polashenski, MD
• Walter A. Polashenski, M.D.
• Susan Marie Polcyn-Dorgan, RPA-C
• Bobbie Lynn Poles-Falk
• Anastasia Kimberly Poles, LPN
• Gabriela Cara Poles, MD
• Tera M Poles
• Ellen L Poleshuck, PHD

• General Practice Dentistry in Rochester, NY
• Providers in Rochester, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.