Magdalena B Minkowicz

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS104547 Issued in CA

Practice address

2800 N Main St Unit 1010
Santa Ana, CA 92705-6608

Phone

(714) 617-7979

NPI assigned

Jul 9, 2019

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acevedo Dental Office, Inc.

  • General Practice Dentistry
  • Santa Ana, CA
  • NPI 1790201762
  NPD (past)
• Brock Lorenz Dental Corporation

  • Dental Clinic/Center
  • Long Beach, CA
  • NPI 1871217349
  NPD (past)
• Stephen W. Clark, DDS Inc.

  dba Spring Dental Group

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1316301500
  NPD (past)

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1568014686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 GITANO",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181115",
            "telephone_number": "917-767-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N MAIN ST UNIT 1010",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056608",
            "telephone_number": "714-617-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKOWICZ",
        "first_name": "MAGDALENA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS104547",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berj K Minasakanian, MD
• Mindful Home Health
• Mine 2 Care Corporation
• Betty Minehan, PSYD,MED,MHS,MBA,MA,
• Minh Canh DO, MD, Inc.
• Roxana P Minkus, D.O
• April Minn, RN, PHN
• Marianne Ethel Minor, RN, ANP
• Ashley Minus
• Sue Mir, L, AC

• General Practice Dentistry in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.