Active NPI
Wendy Magda, D.M.D.
- General Practice Dentistry
- Easton, PA
National Provider Identifier
1265524250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS036092
- Practice address
- 3465 Nazareth Rd Ste 200
Easton, PA 18045-8359 - Phone
- (610) 923-0100
- Fax
- (610) 923-0115
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS036092 | PA | Primary |
Addresses
Primary practice location
3465 Nazareth Rd Ste 200
Easton, PA 18045-8359
Mailing address
196 N 7TH St
Easton, PA 18045-7852
Phone (610) 588-1571
Other practice location 1
323 Blue Valley Dr
Bangor, PA 18013-1526
Phone (610) 588-1571
Other practice location 2
828 Monroe St
Stroudsburg, PA 18360-1707
Phone (610) 588-1104
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 Aug 4, 2015 through Aug 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS036092 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Oral Surgery PLLC | 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 and National Provider Directory roles.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Easton, PA
- NPI 1821753021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1265524250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 N 7TH ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180457852",
"telephone_number": "610-588-1571",
"fax_number": "610-588-0571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 NAZARETH RD STE 200",
"city": "EASTON",
"state": "PA",
"postal_code": "180458359",
"telephone_number": "610-923-0100",
"fax_number": "610-923-0115"
}
],
"practiceLocations": [
{
"address_1": "323 Blue Valley Dr",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "PA",
"postal_code": "180131526",
"country_code": "US",
"telephone_number": "610-588-1571",
"fax_number": "610-588-1571",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "828 Monroe St",
"address_purpose": "LOCATION",
"city": "Stroudsburg",
"state": "PA",
"postal_code": "183601707",
"country_code": "US",
"telephone_number": "610-588-1104",
"fax_number": "610-588-1104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGDA",
"first_name": "WENDY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS036092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.