Individual provider Active NPI

Wendy Magda, D.M.D.

  • General Practice Dentistry
  • Easton, PA
National Provider Identifier
1265524250
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS036092 Issued in PA
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

Updated by the provider on May 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DS036092PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.