Active NPI
Kenneth Scott Magid, D.D.S.
- Dentist
- Harrison, NY
National Provider Identifier
1235141045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS028677
- Practice address
- 163 Halstead Ave
Harrison, NY 10528-3618 - Phone
- (914) 835-0542
- Fax
- (914) 835-0957
- NPI assigned
- Aug 12, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DDS028677 | NY | Primary |
Addresses
Primary practice location
163 Halstead Ave
Harrison, NY 10528-3618
Mailing address
1 Doral Greens Dr E
Rye Brook, NY 10573-5405
Phone (914) 939-4324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS028677 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dentistry of Westchester | Dentist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Harrison, NY
- NPI 1194260323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235141045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DORAL GREENS DR E",
"city": "RYE BROOK",
"state": "NY",
"postal_code": "105735405",
"telephone_number": "914-939-4324",
"fax_number": "914-939-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 HALSTEAD AVE",
"city": "HARRISON",
"state": "NY",
"postal_code": "105283618",
"telephone_number": "914-835-0542",
"fax_number": "914-835-0957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGID",
"first_name": "KENNETH",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "DDS028677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.