Active NPI
Magarette Weatherwax, D.D.S
- Dentist
- Crozet, VA
National Provider Identifier
1225318249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401413300
- Practice address
- 5690 Three Notch D Rd Ste 100
Crozet, VA 22932-3173 - Phone
- (434) 823-4080
- NPI assigned
- Aug 22, 2011
- Last updated
- Feb 16, 2021
- 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 | 0401413300 | VA | Primary |
Addresses
Primary practice location
5690 Three Notch D Rd Ste 100
Crozet, VA 22932-3173
Mailing address
5690 Three Notch D Rd Ste 100
Crozet, VA 22932-3173
Phone (434) 823-4080
Other names 1
- Magarette Le
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150701000250 | DC | Order and Referring Only - Dentist | 1759693971 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401413300 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James W Willis DDS PLC | Dentist | Current | Accepting new patients |
| Neibauer Dental Care, PC | Dentist | Past | Accepting new patients |
Locations
5690 Three Notch D Rd
Ste 100
Crozet, VA 22932
Phone (434) 823-1044
Organizations & group practices 2
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": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1225318249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5690 THREE NOTCH D RD STE 100",
"city": "CROZET",
"state": "VA",
"postal_code": "229323173",
"telephone_number": "434-823-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5690 THREE NOTCH D RD STE 100",
"city": "CROZET",
"state": "VA",
"postal_code": "229323173",
"telephone_number": "434-823-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERWAX",
"first_name": "MAGARETTE",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401413300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAGARETTE",
"last_name": "LE",
"credential": "D.D.S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crozet, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.