Active NPI
Magdalyn Grace Feazell, DMD
- Dentist
- Canal Winchester, OH
National Provider Identifier
1629643374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30.026503
- Practice address
- 6441 Winchester Blvd
Canal Winchester, OH 43110-2033 - Phone
- (614) 834-3455
- NPI assigned
- May 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30.026503 | OH | Primary |
Addresses
Primary practice location
6441 Winchester Blvd
Canal Winchester, OH 43110-2033
Mailing address
323 E 1St Ave Apt 306
Columbus, OH 43215-2186
Phone (513) 706-5912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.026503 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1629643374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 E 1ST AVE APT 306",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432152186",
"telephone_number": "513-706-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6441 WINCHESTER BLVD",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431102033",
"telephone_number": "614-834-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEAZELL",
"first_name": "MAGDALYN",
"middle_name": "GRACE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30.026503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.