Cory Joseph Malagise, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

34892 Issued in TX

Practice address

1200 W Highway 6
Waco, TX 76712

Phone

(724) 544-0125

NPI assigned

Mar 21, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: waco@essentialendotx.com

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1326508722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 PATRICIA DR",
            "city": "MC GREGOR",
            "state": "TX",
            "postal_code": "766571431",
            "telephone_number": "724-544-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W HIGHWAY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "724-544-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAGISE",
        "first_name": "CORY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2021-04-23",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "34892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Waco@essentialendotx.com",
            "affiliation": "N",
            "address_1": "1200 w highway 6",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joel Brennan Mahan, M.D.
• Patricia Lynn Mahanay, PSYCHIATRIC TECH
• Damarice E Mainda
• Ryan Majoros, MA LPC, LMHC
• Elizabeth Makovy, PTA
• Maria Araceli Maldonado, RN, MSN, FNP-C
• Norma Maldonado, MT
• Ashleigh Grace Malone, NP
• Nolan S Malthesen, MD
• Mia Malvini, SLP-ASSISTANT

• Endodontics in Waco, TX
• Providers in Waco, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.