Individual provider Active NPI

Cary Daniel Wagner, D.M.D.

  • Dentist
  • Newburgh, NY
National Provider Identifier
1326239302
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053556-1 Issued in NY
Practice address
275 North St
Newburgh, NY 12550-3143
Phone
(845) 561-2494
Fax
(845) 561-0681
NPI assigned
Aug 6, 2007
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 053556-1 NY Primary

Addresses

Primary practice location

275 North St
Newburgh, NY 12550-3143

Mailing address

275 North St
Newburgh, NY 12550-3143
Phone (845) 561-2494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150409000896 NY Order and Referring Only - Other (Non-Physician) 8224356944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053556-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shay Markovitch Dentistry PLLC Dentist PastSince Jul 24, 2022 Accepting new patients
Smileworks Dental of the Hudson Valley Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1326239302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 NORTH ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503143",
            "telephone_number": "845-561-2494",
            "fax_number": "845-561-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NORTH ST",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503143",
            "telephone_number": "845-561-2494",
            "fax_number": "845-561-0681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CARY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053556-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, NY

Sources for this page

Verify at the official NPI Registry.