Patrick Robert Magner, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019033264 Issued in IL

Practice address

1220 Meadow Rd Ste 206
Northbrook, IL 60062-3671

Phone

(847) 975-2820

NPI assigned

Jun 28, 2021

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Patrick R. Magner, DMD, P.C.

  • General Practice Dentistry
  • Northbrook, IL
  • NPI 1639923865
  NPD Authorized official
• Malin Botvinnik DDS PC

  dba Smiling Patient Dental Care

  • General Practice Dentistry
  • Mount Prospect, IL
  • NPI 1710012976
  NPD (past)

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1710557236",
    "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"
        },
        {
            "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": {
        "last_name": "MAGNER",
        "first_name": "PATRICK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019033264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexia Noel Mader, M. ED., BCBA
• Stephanie V Madrigal
• Yale Samuel Mael, LPC
• Dori J. Mages, MSW, LCSW
• Arianna Paige Maggio, LCSW, CADC
• Shruthi Radha Mahesh
• Elizabeth Maida
• Haley Mailender
• Laura Makeever, NP
• Claudia Malave

• General Practice Dentistry in Northbrook, IL
• Providers in Northbrook, 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 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.