Organization Active NPI

Magdalina Nikolov DDS

  • General Practice Dentistry
  • Glenview, IL
National Provider Identifier
1205082302
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-026203 Issued in IL
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

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Magdalina Borissova Nikolov II, DDSNPI 1831247550
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
9199867MedicaidIL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.