Individual provider Active NPI

Nicholas Magro, DMD

  • Dentist
  • Delray Beach, FL
National Provider Identifier
1184286916
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN24198 Issued in FL
Practice address
551 Linton Blvd Ste C2
Delray Beach, FL 33444-8141
Phone
(561) 287-3737
NPI assigned
Jul 2, 2019
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN24198 FL Primary
General Practice Dentistry 1223G0001X 061347 NY

Addresses

Primary practice location

551 Linton Blvd Ste C2
Delray Beach, FL 33444-8141

Mailing address

551 Linton Blvd Ste C2
Delray Beach, FL 33444-8141

Other practice location 1

113 Holland Ave
Albany, NY 12208-3410
Phone (518) 626-5000

Other practice location 2

4388 middle settlement rd
New Hartford, NY 13413-3410
Phone (315) 724-7121

Other practice location 3

113 Holland Ave
Albany, NY 12208-3410
Phone (518) 626-6570

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN24198FLMDDentist
061347NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Oral Arts, PLLC PastSince Feb 1, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1184286916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LINTON BLVD STE C2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LINTON BLVD STE C2",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334448141",
            "telephone_number": "561-287-3737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083410",
            "country_code": "US",
            "telephone_number": "518-626-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4388 middle settlement rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134133410",
            "country_code": "US",
            "telephone_number": "315-724-7121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083410",
            "country_code": "US",
            "telephone_number": "518-626-6570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGRO",
        "first_name": "NICHOLAS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24198",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.