Individual provider Active NPI

Philip Gerard Maguire I, D.D.S

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1376757294
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4791 Issued in OK
Practice address
2211 NW 41St St
Oklahoma City, OK 73112-8804
Phone
(405) 525-0868
NPI assigned
May 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4791 OK Primary

Addresses

Primary practice location

2211 NW 41St St
Oklahoma City, OK 73112-8804

Mailing address

2211 NW 41St St
Oklahoma City, OK 73112-8804
Phone (405) 525-0868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20160519002395 OK Order and Referring Only - DentistPractitioner - Dentist 0143519769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4791OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Philip G. Maguire D.D.S. PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376757294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 NW 41ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128804",
            "telephone_number": "405-525-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 NW 41ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128804",
            "telephone_number": "405-525-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "PHILIP",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.