Walter Phillip McGinn, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8004 Issued in CT

Practice address

153 Grove St
Putnam, CT 06260-2115

Phone

(860) 928-3723

NPI assigned

Jan 24, 2007

Last updated

Jun 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walter P & Carolyn E McGinn DMD PC

  • Dentist
  • Putnam, CT
  • NPI 1902006802
  NPD (past) Authorized official
• Az Dental PLLC

  dba Quiet Corner Dental

  • Dental Clinic/Center
  • Putnam, CT
  • NPI 1962217869
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1710032446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 GROVE ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602115",
            "telephone_number": "860-928-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 GROVE ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602115",
            "telephone_number": "860-928-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINN",
        "first_name": "WALTER",
        "middle_name": "PHILLIP",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "8004",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004397750",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie McDevitt, PHARMD
• George McDonald
• Sabrina McFarlane
• Carolyn Elizabeth McGinn, DMD
• Mary McGinn
• Debra McGovern, CPNP
• Renee McNamara
• Medical Hearing Aid Center
• Ashly L Meyer
• Jack Richard Millard, MD

• General Practice Dentistry in Putnam, CT
• Providers in Putnam, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.