Individual provider Active NPI

Brandi Alexandria Magana, DMD

  • General Practice Dentistry
  • Indian Land, SC
National Provider Identifier
1821510892
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8944 Issued in SC
Practice address
6237 Carolina Commons Dr Ste 330
Indian Land, SC 29707-6014
Phone
(803) 547-9786
NPI assigned
Jul 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8944 SC
General Practice Dentistry 1223G0001X 8944 SC Primary

Addresses

Primary practice location

6237 Carolina Commons Dr Ste 330
Indian Land, SC 29707-6014

Mailing address

6237 Carolina Commons Dr Ste 330
Indian Land, SC 29707-6014
Phone (803) 547-9786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180410000023 SC Order and Referring Only - DentistPractitioner - Dentist 2567725393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8944SCMDPastoral Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Dental Center of South Carolina General Practice PastSince Jul 24, 2022 Accepting new patients
Victory Dental Center, LLC PastSince Jan 1, 2023 Accepting new patients
Victory Dental Center PastSince Jan 1, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1821510892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 CAROLINA COMMONS DR STE 330",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076014",
            "telephone_number": "803-547-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 CAROLINA COMMONS DR STE 330",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076014",
            "telephone_number": "803-547-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGANA",
        "first_name": "BRANDI",
        "middle_name": "ALEXANDRIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-12",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8944",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Land, SC

Sources for this page

Verify at the official NPI Registry.