Magdaleno S Nucum, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

287 N Weber Rd
Bolingbrook, IL 60490-1567

Phone

(630) 226-9292

NPI assigned

Mar 25, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1124290671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 N MULLIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301812",
            "telephone_number": "773-631-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 N WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901567",
            "telephone_number": "630-226-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUCUM",
        "first_name": "MAGDALENO",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie L Norrman, MA CCC SLP
• Amy L North
• Milad Nourahmadi, D.D.S.
• Kaitlin Elese Novak
• Emily Elizabeth Noxon
• Kathryn Nunes
• Nurses on Calls, Inc.
• Nurturing and Inner-Growth Counseling, LLC
• Katherine J O'Donnell, LCSW
• Caroline Oakley, ATC, LAT

• General Practice Dentistry in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.