Active NPI
Megan Marie Stock, DMD
- Dentist
- Wexford, PA
National Provider Identifier
1093068223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS039217
- Practice address
- 11676 Perry Hwy
Suite 1202
Wexford, PA 15090-7201 - Phone
- (724) 935-0160
- Fax
- (724) 935-5830
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS039217 | PA | Primary |
Addresses
Primary practice location
11676 Perry Hwy
Suite 1202
Wexford, PA 15090-7201
Mailing address
11676 Perry Hwy
Suite 1202
Wexford, PA 15090-7201
Phone (724) 935-0160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 25, 2016 through Apr 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS039217 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1093068223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11676 PERRY HWY",
"address_2": "SUITE 1202",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907201",
"telephone_number": "724-935-0160",
"fax_number": "724-935-5830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11676 PERRY HWY",
"address_2": "SUITE 1202",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907201",
"telephone_number": "724-935-0160",
"fax_number": "724-935-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCK",
"first_name": "MEGAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS039217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.