Active NPI
Linda Feduska, DDS
- General Practice Dentistry
- Baden, PA
National Provider Identifier
1740294792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS-022896-L
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151215001723 | PA | Order and Referring Only - Oral Surgery | 9537469374 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-022896-L | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.