Dr John D McMahon LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01911351 Issued in IL

Legal business name

DR JOHN D MCMAHON LTD

Practice address

8100 Oakton St
Niles, IL 60714

Phone

(847) 823-5142

Fax

(847) 692-4462

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John D McMahon, DDS

Title

President

Phone

(847) 823-5142

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1659560464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 OAKTON ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-823-5142",
            "fax_number": "847-692-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 OAKTON ST",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-823-5142",
            "fax_number": "847-692-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN D MCMAHON LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-823-5142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "01911351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Niles, IL
• Providers in Niles, 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 Jan 16, 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.