Individual provider Active NPI

Stephanie Heydt McGann, DMD

  • Dentist
  • Coatesville, PA
National Provider Identifier
1376899153
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS026252L Issued in PA
Practice address
1208 W Lincoln Hwy
Coatesville, PA 19320
Phone
(610) 383-4747
NPI assigned
Jul 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS026252L PA Primary

Addresses

Primary practice location

1208 W Lincoln Hwy
Coatesville, PA 19320

Mailing address

1208 W Lincoln Hwy
Coatesville, PA 19320-1838
Phone (610) 383-4747

Other practice location 1

736 Baltimore Pike Ste 7
Suite 7
Glen Mills, PA 19342-1074
Phone (610) 558-0416

Other practice location 2

1208 W Lincoln Hwy
Coatesville, PA 19320
Phone (610) 383-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20150611001091 PA Order and Referring Only - DentistPractitioner - Dentist 6204157522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS026252LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Valley Dental Past Accepting new patients
Michael S Ayes DDS and Associates Pennsylvania V, PC Past Accepting new patients

Organizations & group practices 2

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": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1376899153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201838",
            "telephone_number": "610-383-4747",
            "fax_number": "610-383-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W LINCOLN HWY",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "19320",
            "telephone_number": "610-383-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Baltimore Pike Ste 7",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193421074",
            "country_code": "US",
            "telephone_number": "610-558-0416",
            "fax_number": "610-558-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1208 W Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Coatesville",
            "state": "PA",
            "postal_code": "19320",
            "country_code": "US",
            "telephone_number": "610-383-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGANN",
        "first_name": "STEPHANIE",
        "middle_name": "HEYDT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026252L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coatesville, PA

Sources for this page

Verify at the official NPI Registry.