Active NPI
Linda Ann Maykel, DDS
- Dentist
- Worcester, MA
National Provider Identifier
1881611895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13977
- Practice address
- 390 Main Street
Suite 418
Worcester, MA 01608 - Phone
- (508) 753-7365
- NPI assigned
- Jul 16, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 13977 | MA | Primary |
Addresses
Primary practice location
390 Main Street
Suite 418
Worcester, MA 01608
Mailing address
390 Main Street
Suite 418
Worcester, MA 01608
Phone (508) 753-7365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20160421001671 | MA | Order and Referring Only - Dentist | 7618276809 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13977 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1881611895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 MAIN STREET",
"address_2": "SUITE 418",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-753-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 MAIN STREET",
"address_2": "SUITE 418",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "508-753-7365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYKEL",
"first_name": "LINDA",
"middle_name": "ANN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "13977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
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.