Diane Magnus, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

380 N State Rd
Otisville, MI 48463-9486

Phone

(810) 631-4524

Fax

(810) 631-7041

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Diane Greanya Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• G & J Dental PC

  • General Practice Dentistry
  • Otisville, MI
  • NPI 1649160995
  NPD (past)
• Great Lakes Family Dental Group - Otisville, P.C.

  • General Practice Dentistry
  • Otisville, MI
  • NPI 1568554681
  NPD (past)

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1013409713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N STATE RD",
            "city": "OTISVILLE",
            "state": "MI",
            "postal_code": "484639486",
            "telephone_number": "810-631-4524",
            "fax_number": "810-631-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N STATE RD",
            "city": "OTISVILLE",
            "state": "MI",
            "postal_code": "484639486",
            "telephone_number": "810-631-4524",
            "fax_number": "810-631-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUS",
        "first_name": "DIANE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "GREANYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Robert Jockers, DMD
• Patricia Coleen Klamert, MS RN BSN
• Elizabeth Rose Kurylo, CHW
• Brooke Nicole Leen, DDS
• Katelyn Lutey-Falkey, MA, LPC
• Tijo Thomas Manthuruthil, PHARMD
• Mohamed Ally Health Plaza PLLC
• William E Norton II, D.D.S.
• Otisville Pharmacy LLC
• Rite Aid of Michigan Inc

• Dental Hygienist in Otisville, MI
• Providers in Otisville, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.