Brandon Robert Magill, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052332 Issued in NY

Practice address

8108 Cazenovia Rd
7 Pines Office Park BLDG 2
Manlius, NY 13104-9780

Phone

(315) 682-8921

Fax

(315) 682-5561

NPI assigned

Jan 19, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1598745176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 CAZENOVIA RD",
            "address_2": "7 PINES OFFICE PARK BLDG 2",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049780",
            "telephone_number": "315-682-8921",
            "fax_number": "315-682-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8108 CAZENOVIA RD",
            "address_2": "7 PINES OFFICE PARK BLDG 2",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131049780",
            "telephone_number": "315-682-8921",
            "fax_number": "315-682-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Manlius, NY
• Providers in Manlius, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.