Jean McGill

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS-029357-L Issued in PA

Practice address

3311 Northwood Ave
Easton, PA 18045-8004

Phone

(610) 252-0442

Fax

(610) 252-5736

NPI assigned

Apr 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962622779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 PINE GROVE DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452244",
            "telephone_number": "610-258-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 NORTHWOOD AVE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180458004",
            "telephone_number": "610-252-0442",
            "fax_number": "610-252-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS-029357-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine McDonald, MA, LPC, NCC
• Robert Patrick McEvoy, M.D.
• Kyra Vernita McFadden, LPC
• Caitlin Rose McGeehan, CRNP
• Mary McGeever
• Kristine McGorry, MSW
• Alexandra Lea McGovern, CRNP
• Laura Kibler McGraw-Cook, PH.D.
• William Christopher McIntosh, MD
• Kellee Elizabeth McIntyre

• Orthodontics and Dentofacial Orthopedics Dentistry in Easton, PA
• Providers in Easton, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• 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.

Verify at the official NPI Registry.