Rose Ogada Wadenya

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS-030167-L Issued in PA

Practice address

31 S. Eagle Road
Suite 100
Havertown, PA 19083

Phone

(484) 454-3568

NPI assigned

Sep 22, 2009

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Eagle Crest Pediatric Dentistry

  • Pediatric Dentistry
  • Havertown, PA
  • NPI 1326392846
  NPD (past) Authorized official

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1386978583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S. EAGLE ROAD SUITE 100",
            "address_2": "EAGLE CREST PEDIATRIC DENTISTRY:",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "484-454-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S. EAGLE ROAD",
            "address_2": "SUITE 100",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "19083",
            "telephone_number": "484-454-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADENYA",
        "first_name": "ROSE",
        "middle_name": "OGADA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS-030167-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Visionworks, Inc.
• Naina Vora, D.O.
• Carl Vorwerk, CRNA
• Hardik J Vyas
• W L Schneider Associates Inc
• Ama D Walley, DMD
• Margaret Walter, LCSW
• Nicole Walters, MA, RD, LDN
• Harvey Allen Wank, DMD
• Joan Frances Ward, PA-C

• Pediatric Dentistry in Havertown, PA
• Providers in Havertown, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.