Organization Active NPI

Patrick R. Magner, DMD, P.C.

  • General Practice Dentistry
  • Northbrook, IL
National Provider Identifier
1639923865
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PATRICK R. MAGNER, DMD, P.C.
Practice address
1220 Meadow Rd Ste 206
Northbrook, IL 60062-3671
Phone
(847) 975-2820
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Authorized official

Name
Dr. Patrick Robert Magner, DMDNPI 1710557236
Title
President
Phone
(847) 975-2820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1220 Meadow Rd Ste 206
Northbrook, IL 60062-3671

Mailing address

6518 N Tahoma Ave
Chicago, IL 60646-2825
Phone (847) 975-2820

National Provider Directory

National Provider Directory

Locations

1220 Meadow Rd
Ste 206
Northbrook, IL 60062
Phone (847) 272-1588

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1639923865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 N TAHOMA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462825",
            "telephone_number": "847-975-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MEADOW RD STE 206",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623671",
            "telephone_number": "847-975-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK R. MAGNER, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "MAGNER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-975-2820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.