Mikhail Palkhouski, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS041354 Issued in PA

Practice address

6776 Market St
Upper Darby, PA 19082-2432

Phone

(610) 734-0115

NPI assigned

Jul 18, 2017

Last updated

Jul 18, 2017By the provider in NPPES

Sex

Male

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 PA

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

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1942723358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S 41 ST APT. 1D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "347-988-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 MARKET ST",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190822432",
            "telephone_number": "610-734-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKHOUSKI",
        "first_name": "MIKHAIL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS041354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Optimal Health and Performance
• Orlando Z. Maloles Jr. MD
• Chukwuka N Osakwe
• Bridget Ota Osayi
• PA Homecare Group
• Park Avenue Dental Associates
• Passion Home Health Care Services, LLC.
• Passionate Friends Caregiving Agency LLC
• Nisha Patel, DDS
• Saurin Patel, O.D.

• Dentist in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.