Active NPI
Daniel Rupert McGinn, D.D.S.
- Dentist
- Benton Harbor, MI
National Provider Identifier
1093982993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13018
- Practice address
- 800 M 139
Benton Harbor, MI 49022-3881 - Phone
- (269) 927-5400
- Fax
- (269) 927-1956
- NPI assigned
- May 11, 2008
- Sex
- Male
- 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 | 13018 | MI | Primary |
Addresses
Primary practice location
800 M 139
Benton Harbor, MI 49022-3881
Mailing address
50 Industrial Park Rd
Bangor, MI 49013-1246
Phone (269) 427-7937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13018 | MI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1093982993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 INDUSTRIAL PARK RD",
"city": "BANGOR",
"state": "MI",
"postal_code": "490131246",
"telephone_number": "269-427-7937",
"fax_number": "269-427-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 M 139",
"city": "BENTON HARBOR",
"state": "MI",
"postal_code": "490223881",
"telephone_number": "269-927-5400",
"fax_number": "269-927-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINN",
"first_name": "DANIEL",
"middle_name": "RUPERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-11",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "13018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.