Active NPI
Magdalina Nikolov DDS
- General Practice Dentistry
- Glenview, IL
National Provider Identifier
1205082302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019-026203
- Legal business name
- MAGDALINA NIKOLOV DDS
- Practice address
- 2604 Patriot Blvd
Unit B
Glenview, IL 60026-8024 - Phone
- (847) 657-8818
- Fax
- (847) 657-8858
- NPI assigned
- Aug 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Magdalina Borissova Nikolov II, DDS
- Title
- Dentist / President
- Phone
- (847) 657-8818
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-026203 | IL | Primary |
Addresses
Primary practice location
2604 Patriot Blvd
Unit B
Glenview, IL 60026-8024
Mailing address
2604 Patriot Blvd
Suite B
Glenview, IL 60026-8024
Phone (847) 657-8818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9199867 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
2604 Patriot Blvd
#B
Glenview, IL 60026
Phone (312) 544-9384
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Glenview, IL
- NPI 1831247550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218153600000",
"number": "1205082302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 PATRIOT BLVD",
"address_2": "SUITE B",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600268024",
"telephone_number": "847-657-8818",
"fax_number": "847-657-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 PATRIOT BLVD",
"address_2": "UNIT B",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600268024",
"telephone_number": "847-657-8818",
"fax_number": "847-657-8858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGDALINA NIKOLOV DDS",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-08",
"last_updated": "2008-08-08",
"status": "A",
"authorized_official_last_name": "NIKOLOV",
"authorized_official_first_name": "MAGDALINA",
"authorized_official_middle_name": "BORISSOVA",
"authorized_official_title_or_position": "DENTIST / PRESIDENT",
"authorized_official_telephone_number": "847-657-8818",
"authorized_official_name_suffix": "II",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019-026203",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9199867",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.