Individual provider Active NPI

Margaret A Pimpo, DDS

  • General Practice Dentistry
  • Canal Winchester, OH
National Provider Identifier
1053425355
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.027013 Issued in OH
Practice address
6160 Gender Rd
Canal Winchester, OH 43110-2054
Phone
(614) 591-3522
Fax
(614) 954-3411
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.027013 OH Primary

Addresses

Primary practice location

6160 Gender Rd
Canal Winchester, OH 43110-2054

Mailing address

6160 Gender Rd
Canal Winchester, OH 43110-2054
Phone (614) 591-3522

Other identifiers 2

IdentifierTypeStateIssuer
786923OtherUNITED CONCORDIA
1053425355MedicaidCA

Other names 1

  • Dr. Margaret A Meadows Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 1, 2023 through May 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.027013OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Canal Winchester LLC General Practice CurrentSince Oct 13, 2024 Accepting new patients

Locations

6160 Gender Rd
Canal Winchester, OH 43110
Phone (614) 591-3522

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1053425355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 GENDER RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102054",
            "telephone_number": "614-591-3522",
            "fax_number": "614-954-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 GENDER RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102054",
            "telephone_number": "614-591-3522",
            "fax_number": "614-954-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMPO",
        "first_name": "MARGARET",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "786923",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053425355",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "MEADOWS",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.