John C Mackenbach

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

183 S Bloomingdale Rd
Suite 202
Bloomingdale, IL 60108-1466

Phone

(630) 894-5180

Fax

(630) 894-1148

NPI assigned

Nov 14, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• My Dentist Family, LTD.

  • Dental Clinic/Center
  • Bloomingdale, IL
  • NPI 1780756064

  General Practice

  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467524769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD",
            "address_2": "SUITE 202",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081466",
            "telephone_number": "630-894-5180",
            "fax_number": "630-894-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 S BLOOMINGDALE RD",
            "address_2": "SUITE 202",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081466",
            "telephone_number": "630-894-5180",
            "fax_number": "630-894-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENBACH",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M&Copticalofillinois
• Jackie Macalindong, AGNP-C
• Jodi L Macaluso, MA LCPC CADC
• Tehneiyat Macci, O.D.
• Mianie Jaro Macias, PT
• Tunisia Macklin, LMT
• Emily Magazzu, LPC
• Francis Anthony Maggio, LCSW
• Chloe Mariel Maghinang, MS, CCC-SLP
• Cynthia Elizabeth Magsam, MD

• General Practice Dentistry in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• General Practice Dentistry in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.