NPIMap

Organization Active NPI

Magnolia Canal Winchester LLC

Doing business as Magnolia Dental Canal Winchester

  • General Practice Dentistry
  • Canal Winchester, OH
National Provider Identifier
1649883018
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAGNOLIA CANAL WINCHESTER LLC
Doing business as
Magnolia Dental Canal Winchester
Practice address
6160 Gender Rd
Canal Winchester, OH 43110-2054
Phone
(614) 591-3522
NPI assigned
Aug 26, 2020
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Meghan Koeneman
Title
Director of Revenue Cycle Managemen
Phone
(380) 203-3592

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

6160 Gender Rd
Canal Winchester, OH 43110-2054

Mailing address

6160 Gender Rd
Canal Winchester, OH 43110-2054

Other names 1

  • Magnolia Dental Canal Winchester Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address canalwinchester@mymagnoliasmile.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1649883018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 GENDER RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 GENDER RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431102054",
            "telephone_number": "614-591-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CANAL WINCHESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "KOENEMAN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MANAGEMEN",
        "authorized_official_telephone_number": "380-203-3592"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "canalwinchester@mymagnoliasmile.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6160 Gender Rd",
            "city": "Canal Winchester",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431102054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Magnolia Dental Canal Winchester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Dental Canal Winchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 21, 2025; 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.