Domitila Maghanga

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

763771100027 Issued in MN

Practice address

4435 Parklawn CT Apt 112
Edina, MN 55435-4618

Phone

(952) 393-0241

NPI assigned

Aug 29, 2014

Sex

Female

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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1801296546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 PARKLAWN CT APT 112",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354618",
            "telephone_number": "952-393-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 PARKLAWN CT APT 112",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354618",
            "telephone_number": "952-393-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGHANGA",
        "first_name": "DOMITILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MN",
            "license": "763771100027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Madsen
• Andrew Quentin Madson, DDS
• Shari Madson, NP
• Octavia Magee, BT
• Paul Robert Magee, DIPL. AC., L.AC.
• Molly J Magnani, DC
• Rebecca Marie Magno, M.D.
• Magnolia Dental Care, PLLC
• Ellen Magnuson, RDN
• Steven Mahler, DDS

• Personal Care Attendant in Edina, MN
• Providers in Edina, MN by specialty
• Personal Care Attendant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.