Active NPI
Dale L Deahn, M.D.
- Family Medicine Physician
- Arcade, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 150120
- Practice address
- 401 Main St
Arcade, NY 14009-1113 - Phone
- (585) 492-5088
- NPI assigned
- Jan 19, 2006
- Last updated
- Oct 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 150120 | NY | Primary |
Addresses
Primary practice location
401 Main St
Arcade, NY 14009-1113
Mailing address
401 Main St
Arcade, NY 14009-1113
Phone (585) 492-5088
Other practice location 1
263 Liberty St
Arcade, NY 14009-1626
Phone (585) 496-5007
Other practice location 2
400 N Main St
Warsaw, NY 14569-1025
Phone (585) 786-1541
Other practice location 3
1 Parker Ln
Perry, NY 14530-9703
Phone (585) 969-5335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00711064 | Medicaid | NY |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York Medical College, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
921 Wayne St
Olean, NY 14760-2255
Phone (716) 379-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150120 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming County | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Wyoming County | Current | Accepting new patients | |
| Wyoming County Family Medicine PC | Family Medicine | Past | Accepting new patients |
Locations
263 Liberty St
Arcade, NY 14009
Phone (585) 496-5007
401 Main St
Arcade, NY 14009
Phone (585) 492-5088
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
921 Wayne St
Olean, NY 14760
Phone (716) 244-3834
1 Parker Ln
Perry, NY 14530
Phone (585) 237-2064
400 N Main St
Warsaw, NY 14569
Phone (585) 786-1555
Organizations & group practices 7
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.
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
- Emergency Medicine Physician
- Warsaw, NY
- NPI 1407060759
-
- Family Medicine Physician
- Arcade, NY
- NPI 1760694269
-
- Family Medicine Physician
- Castile, NY
- NPI 1417594623
-
- Internal Medicine Physician
- Warsaw, NY
- NPI 1184030017
-
- Rural Acute Care Hospital
- Warsaw, NY
- NPI 1316924913
-
- Surgery Physician
- Warsaw, NY
- NPI 1811385065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1871573378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MAIN ST",
"city": "ARCADE",
"state": "NY",
"postal_code": "140091113",
"telephone_number": "585-492-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MAIN ST",
"city": "ARCADE",
"state": "NY",
"postal_code": "140091113",
"telephone_number": "585-492-5088"
}
],
"practiceLocations": [
{
"address_1": "263 Liberty St",
"address_purpose": "LOCATION",
"city": "Arcade",
"state": "NY",
"postal_code": "140091626",
"country_code": "US",
"telephone_number": "585-496-5007",
"fax_number": "585-492-4681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 N Main St",
"address_purpose": "LOCATION",
"city": "Warsaw",
"state": "NY",
"postal_code": "145691025",
"country_code": "US",
"telephone_number": "585-786-1541",
"fax_number": "585-492-4681",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Parker Ln",
"address_purpose": "LOCATION",
"city": "Perry",
"state": "NY",
"postal_code": "145309703",
"country_code": "US",
"telephone_number": "585-969-5335",
"fax_number": "585-492-4681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAHN",
"first_name": "DALE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "150120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00711064",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arcade, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.