Organization Active NPI

Magnifico Family Dentistry PC

  • General Practice Dentistry
  • Ellwood City, PA
National Provider Identifier
1376183590
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MAGNIFICO FAMILY DENTISTRY PC
Practice address
620 Jefferson Ave
Ellwood City, PA 16117-1229
Phone
(724) 758-3505
NPI assigned
Jan 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Dr. Nikki-Jo Magnifico, D.M.D.NPI 1558514166
Title
General Dentist/Owner
Phone
(724) 758-3505

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 Primary

Addresses

Primary practice location

620 Jefferson Ave
Ellwood City, PA 16117-1229

Mailing address

620 Jefferson Ave
Ellwood City, PA 16117-1229
Phone (724) 758-3505

National Provider Directory

National Provider Directory

Locations

620 Jefferson Ave
Ellwood City, PA 16117
Phone (724) 758-3505

Practitioners & affiliated clinicians

Practitioners 2

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": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1376183590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JEFFERSON AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171229",
            "telephone_number": "724-758-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JEFFERSON AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161171229",
            "telephone_number": "724-758-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNIFICO FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "MAGNIFICO",
        "authorized_official_first_name": "NIKKI-JO",
        "authorized_official_title_or_position": "GENERAL DENTIST/OWNER",
        "authorized_official_telephone_number": "724-758-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.