Individual provider Active NPI

Edward Alan Magida, DMD

  • Dentist
  • Newtown, PA
National Provider Identifier
1679594063
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS-023086-L Issued in PA
Practice address
7 Cambridge LN
Newtown, PA 18940-3326
Phone
(215) 968-7787
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS-023086-L PA Primary

Addresses

Primary practice location

7 Cambridge LN
Newtown, PA 18940-3326

Mailing address

607 Glen Meadow Rd
Richboro, PA 18954-1669
Phone (215) 579-0829

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
I20150417001562 PA Order and Referring Only - DentistPractitioner - Dentist 2264688100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-023086-LPAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Newtown Dental Care PC Dentist PastSince Jul 1, 1991 Accepting new patients

Organizations & group practices 1

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679594063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 GLEN MEADOW RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541669",
            "telephone_number": "215-579-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CAMBRIDGE LN",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403326",
            "telephone_number": "215-968-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGIDA",
        "first_name": "EDWARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-023086-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.