Cary Daniel Wagner, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

053556-1 Issued in NY

Practice address

1323 Route 9
Suite 209
Wappingers Falls, NY 12590-4904

Phone

(845) 297-0757

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shay Markovitch Dentistry PLLC

  • Dentist
  • Wappingers Falls, NY
  • NPI 1972031441
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1326239302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 ROUTE 9",
            "address_2": "SUITE 209",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904904",
            "telephone_number": "845-297-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 ROUTE 9",
            "address_2": "SUITE 209",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904904",
            "telephone_number": "845-297-0757"
        }
    ],
    "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": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053556-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa Virgens
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• Diane Volk, FNP
• Barbara A Vorel, TSHH, LSLP
• Walgreen Co
• Melody L Walker, RN
• Kathleen Alarcon Walling, DPT
• Bernard Wally, R. PH.
• Jordan Mary Walsh

• Dentist in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.

Verify at the official NPI Registry.