Individual provider Active NPI

Margo Leah McCumber, D.D.S.

  • Dentist
  • Tonawanda, NY
National Provider Identifier
1487801221
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054517 Issued in NY
Practice address
2929 Sheridan Dr
Tonawanda, NY 14150-9440
Phone
(716) 831-8844
Fax
(716) 834-2073
NPI assigned
Aug 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054517 NY Primary

Addresses

Primary practice location

2929 Sheridan Dr
Tonawanda, NY 14150-9440

Mailing address

2239 Katherine Dr
Niagara Falls, NY 14304-3010
Phone (607) 438-0347

Other names 1

  • Mrs. Margo Leah Wade Other name

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107001851 NY Order and Referring Only - DentistPractitioner - Dentist 4284913674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1487801221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 KATHERINE DR",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043010",
            "telephone_number": "607-438-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 SHERIDAN DR",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141509440",
            "telephone_number": "716-831-8844",
            "fax_number": "716-834-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUMBER",
        "first_name": "MARGO",
        "middle_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-23",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGO",
            "last_name": "WADE",
            "middle_name": "LEAH",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.