Active NPI
Megan Cook Bajlovic, DMD
- General Practice Dentistry
- Middletown, DE
National Provider Identifier
1295969160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- G1-0001287
- Practice address
- 12 Pennington St
Suite #300
Middletown, DE 19709-1026 - Phone
- (302) 378-4416
- Fax
- (302) 378-4486
- NPI assigned
- May 7, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | DE | ||
| General Practice Dentistry | 1223G0001X | G1-0001287 | DE | Primary |
Addresses
Primary practice location
12 Pennington St
Suite #300
Middletown, DE 19709-1026
Mailing address
12 Pennington St
Suite #300
Middletown, DE 19709-1026
Phone (302) 378-4416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- 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 |
|---|---|---|---|---|
| I20231228002913 | DE | Order and Referring Only - Dentist | 2860712759 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Family Dentistry, PA | General Practice | 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": "1241654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433980800000",
"number": "1295969160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PENNINGTON ST",
"address_2": "SUITE #300",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197091026",
"telephone_number": "302-378-4416",
"fax_number": "302-378-4486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 PENNINGTON ST",
"address_2": "SUITE #300",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197091026",
"telephone_number": "302-378-4416",
"fax_number": "302-378-4486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK BAJLOVIC",
"first_name": "MEGAN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-07",
"last_updated": "2015-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "DE",
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "DE",
"license": "G1-0001287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.