Steven Wayne Gajda, DDS, MSD
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Madison, OH
NPI 1245496264 · NPPES record last updated Jun 25, 2015
Key facts
- NPI
- 1245496264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 30022716 (OH)
- Practice address
- 2040 Hubbard Rd
Madison, OH 44057-2566 - Phone
- (440) 428-7290
- Fax
- (440) 428-0911
- NPI assigned
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160705002071 | OH | Order and Referring Only - Dentist |
7517259922 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30022716 | OH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Dental Specialists, Dr. Steven W Gajda | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 30022716 | OH | Yes |
Addresses
Primary practice location
2040 Hubbard Rd
Madison, OH 44057-2566
Mailing address
2040 Hubbard Rd
Madison, OH 44057-2566
Phone (440) 428-7290
Other providers in Madison, OH
- Warren Clinton Forster
- French Chiropractic and Wellness Center
- Timothy M French
- Friends Gather Here, LLC
- Sabrina Lynn Fuentes
- Christina J Gardner
- Mark Gardner
- Gregg E Gehring
- Toni Gianfagna
- Giela Gellis OD LLC
All providers in Madison, OH · Orthodontics and Dentofacial Orthopedics Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.