Robert E. McMahon, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12007695 Issued in IN

Practice address

502 Wall Street
Valparaiso, IN 46383-2564

Phone

(219) 462-5117

Fax

(219) 464-7351

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

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.

• American Anesthesiology of Illinois, LLC

  • Anesthesiology Physician
  • Merrillville, IN
  • NPI 1326224270
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174617633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8691 CONNECTICUT STREET",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106287",
            "telephone_number": "219-757-5700",
            "fax_number": "219-757-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WALL STREET",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832564",
            "telephone_number": "219-462-5117",
            "fax_number": "219-464-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12007695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McGuckin Chiropractic PC
• Brian Charles McGuckin, D.C.
• Kathleen R McGuire, PTA
• William McKee, DC
• Ashley McLaughlin, M.S.ED
• Frederick J Meccia, DPM
• Medical Health & Wellness Clinic LLC
• Medical Transport Services, LLC
• Medicci Klinx Inc.
• Meijer Stores Limited Partnership

• Oral and Maxillofacial Surgery (Dentist) in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.