W Kevin Mahoney, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS025037L Issued in PA

Practice address

3915 Caughey Rd
Suite #1
Erie, PA 16506-4031

Phone

(814) 833-3505

Fax

(814) 838-5161

NPI assigned

Oct 25, 2006

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

Other names 1

• W Kevin Mahoney Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1700960630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 CAUGHEY RD",
            "address_2": "SUITE #1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064031",
            "telephone_number": "814-833-3505",
            "fax_number": "814-838-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CAUGHEY RD",
            "address_2": "SUITE #1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064031",
            "telephone_number": "814-833-3505",
            "fax_number": "814-838-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "W",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025037L",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "DA025037A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W",
            "last_name": "MAHONEY",
            "middle_name": "KEVIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mahesh Botejue MD LLC
• Saad Mahmood, DO
• Robert Lewis Maholic, DO
• Donna Mahoney, PT, CHT
• Tricia Mahoney, PT
• Kathy Marie Mahood, M.A.
• Robert L Mailliard, PSYCHOLOGIST
• Kelly Maine, DPT
• Lisa Anne Mainier, PHD, D.O.
• Henry F Malarkey IV, MD

• General Practice Dentistry in Erie, PA
• Providers in Erie, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.