Active NPI
Magnifico Family Dentistry PC
- General Practice Dentistry
- Ellwood City, PA
National Provider Identifier
1376183590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Ellwood City, PA
- NPI 1558514166
-
- General Practice Dentistry
- Ellwood City, PA
- NPI 1477615581
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.