Individual provider Active NPI

Michael J. Maginnis, D.D.S., M.S.

  • Prosthodontics
  • Baton Rouge, LA
National Provider Identifier
1184627788
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
LA2460 Issued in LA
Practice address
7742 Office Park Blvd
BLDG a, Suite 1
Baton Rouge, LA 70809-7601
Phone
(225) 201-1000
Fax
(225) 201-1005
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X LA2460 LA Primary

Addresses

Primary practice location

7742 Office Park Blvd
BLDG a, Suite 1
Baton Rouge, LA 70809-7601

Mailing address

7742 Office Park Blvd
BLDG a, Suite 1
Baton Rouge, LA 70809-7601
Phone (225) 201-1000

Other identifiers 4

IdentifierTypeStateIssuer
LA2460OtherLADENTAL LICENSE #
1824607MedicaidLA
18931OtherLASTATE DRUG LICENSE #
F7198OtherLABC/BS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000475 LA Practitioner - Maxillofacial Surgery 2365566601 Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LA2460LAMDProsthodontist

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184627788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7742 OFFICE PARK BLVD",
            "address_2": "BLDG A, SUITE 1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097601",
            "telephone_number": "225-201-1000",
            "fax_number": "225-201-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7742 OFFICE PARK BLVD",
            "address_2": "BLDG A, SUITE 1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097601",
            "telephone_number": "225-201-1000",
            "fax_number": "225-201-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGINNIS",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "LA",
            "license": "LA2460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE #",
            "identifier": "LA2460",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1824607",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DRUG LICENSE #",
            "identifier": "18931",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER #",
            "identifier": "F7198",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.