Active NPI
Frank A Maggio
- Periodontics
- Elgin, IL
National Provider Identifier
1689837585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 21000876
- Practice address
- 2000 Larkin Ave
Suite 306
Elgin, IL 60123-5880 - Phone
- (847) 697-4646
- Fax
- (847) 697-8364
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 21000876 | IL | Primary |
Addresses
Primary practice location
2000 Larkin Ave
Suite 306
Elgin, IL 60123-5880
Mailing address
2000 Larkin Ave
Suite 306
Elgin, IL 60123-5880
Phone (847) 697-4646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21000876 | IL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Periodonitcs of Elgin, LTD | Periodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Periodontics
- Elgin, IL
- NPI 1326062951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1689837585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 LARKIN AVE",
"address_2": "SUITE 306",
"city": "ELGIN",
"state": "IL",
"postal_code": "601235880",
"telephone_number": "847-697-4646",
"fax_number": "847-697-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 LARKIN AVE",
"address_2": "SUITE 306",
"city": "ELGIN",
"state": "IL",
"postal_code": "601235880",
"telephone_number": "847-697-4646",
"fax_number": "847-697-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGGIO",
"first_name": "FRANK",
"middle_name": "A",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "IL",
"license": "21000876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.