David Dean Magilke, M.D.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

MD19765 Issued in OR

Practice address

9427 SW Barnes Rd Ste 394
Portland, OR 97225-6616

Phone

(503) 297-6511

Fax

(503) 297-5231

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1508921354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9427 SW BARNES ROAD",
            "address_2": "SUITE 394",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253371",
            "telephone_number": "503-297-6511",
            "fax_number": "503-297-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9427 SW BARNES RD STE 394",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256616",
            "telephone_number": "503-297-6511",
            "fax_number": "503-297-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGILKE",
        "first_name": "DAVID",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "OR",
            "license": "MD19765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079350",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Magga, M.AC.O.M., L.AC.
• Philip John Maggi
• Maggie Armstrong OT LLC
• Dolores Jeanne Maggiore, MSW
• Patricia Suzanne Magid-Volk, P.T.
• Erika Bittner Magill, PSYD
• Resa Grace Magill, MD
• Lavinia Paola Magliocco
• Caroline Magno, MS CCC-SLP
• Stephanie Magno, PT

• Facial Plastic Surgery Physician in Portland, OR
• Providers in Portland, OR by specialty
• Facial Plastic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.