Active NPI
Natalie Magda, DPM
- Podiatrist
- Dixon, IL
National Provider Identifier
1285488247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 135001216
- Practice address
- 403 E 1St St
Dixon, IL 61021-3187 - Phone
- (815) 288-5531
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 135.001216 | IL | |
| Podiatrist | 213E00000X | 135001216 | IL | Primary |
Addresses
Primary practice location
403 E 1St St
Dixon, IL 61021-3187
Mailing address
403 E 1St St
Dixon, IL 61021-3187
Phone (815) 288-5531
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
| License | State | Type | Specialty |
|---|---|---|---|
| 135001216 | IL | MD | Podiatrist |
| 135.001216 | IL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728864000000",
"number": "1285488247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 E 1ST ST",
"city": "DIXON",
"state": "IL",
"postal_code": "610213187",
"telephone_number": "815-288-5531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 E 1ST ST",
"city": "DIXON",
"state": "IL",
"postal_code": "610213187",
"telephone_number": "815-288-5531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGDA",
"first_name": "NATALIE",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "135.001216",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": "135001216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dixon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.