John Magnin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4190 Issued in WI

Practice address

1281 Marinette Ave
Marinette, WI 54143-2018

Phone

(715) 735-3337

NPI assigned

Apr 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306060603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 MARINETTE AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 MARINETTE AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541432018",
            "telephone_number": "715-735-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNIN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "4190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quentin Garrett Lueck, PHARMD
• Paula Jean Lynn, MS, OTR/L
• Andrea R Lyon, PT, DPT
• Sandra B Macarthur, MD
• Thomas Val Mack, MD
• Kathleen Marie Magnin, A.N.P.
• Marissa J Maguire, PA-C
• Marianne H Mainhardt, NP
• Anne Marie Majerus, DPT
• Tyler Dean Manley, DO

• Dentist in Marinette, WI
• Providers in Marinette, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.