Individual provider Active NPI

Dale L Deahn, M.D.

  • Family Medicine Physician
  • Arcade, NY
National Provider Identifier
1871573378
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
150120 Issued in NY
Practice address
401 Main St
Arcade, NY 14009-1113
Phone
(585) 492-5088
NPI assigned
Jan 19, 2006
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00711064MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000833 NY Practitioner - Family Practice 0648203620 Reassigns benefits to 2 organizations

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
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

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

LicenseStateTypeSpecialty
150120NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming County Current Accepting new patients
Wyoming County CurrentSince Nov 18, 2021 Accepting new patients
Wyoming County Current Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jul 25, 2022 Accepting new patients
Wyoming County Current Accepting new patients
Wyoming County Family Medicine PC Family Medicine PastSince Nov 1, 2020 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.

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

Verify at the official NPI Registry.