Individual provider Active NPI

Linda Feduska, DDS

  • General Practice Dentistry
  • Baden, PA
National Provider Identifier
1740294792
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-022896-L Issued in PA
Practice address
1624 W State St
Northern Lights Shopping Plaza
Baden, PA 15005-1207
Phone
(724) 869-0446
Fax
(724) 869-1270
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

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
General Practice Dentistry 1223G0001X DS-022896-L PA Primary

Addresses

Primary practice location

1624 W State St
Northern Lights Shopping Plaza
Baden, PA 15005-1207

Mailing address

1624 W State St
Northern Lights Shopping Plaza
Baden, PA 15005-1207
Phone (724) 869-0446

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
I20151215001723 PA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9537469374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-022896-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
My Best Smile, P.C General Practice Past 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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740294792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 W STATE ST",
            "address_2": "NORTHERN LIGHTS SHOPPING PLAZA",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150051207",
            "telephone_number": "724-869-0446",
            "fax_number": "724-869-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 W STATE ST",
            "address_2": "NORTHERN LIGHTS SHOPPING PLAZA",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150051207",
            "telephone_number": "724-869-0446",
            "fax_number": "724-869-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDUSKA",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-022896-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baden, PA

Sources for this page

Verify at the official NPI Registry.