Active NPI
Daniel Magalnick, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Peabody, MA
National Provider Identifier
1992796114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 13222
- Practice address
- 6 Essex Center Dr
Suite 112
Peabody, MA 01960-2910 - Phone
- (978) 531-1450
- Fax
- (978) 531-9984
- NPI assigned
- Nov 4, 2005
- Last updated
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13222 | MA | Primary |
Addresses
Primary practice location
6 Essex Center Dr
Suite 112
Peabody, MA 01960-2910
Mailing address
6 Essex Center Dr
Suite 112
Peabody, MA 01960-2910
Phone (978) 531-1450
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 709518 | Other | MA | TUFTS |
| V05676 | Other | MA | BCBS MELROSE |
| 41946 | Other | MA | HP-MELROSE |
| 16303 | Other | MA | PILGRIM |
| 0261475 | Medicaid | MA | |
| V06392 | Other | MA | BCBS NBPT |
| AA58597 | Other | MA | HP-NBPT |
| X04063 | Other | MA | BCBS |
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 |
|---|---|---|---|
| 13222 | MA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melrose Wakefield Oral Surgery Inc. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
810 Main St
Melrose, MA 02176
Phone (781) 662-6228
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Melrose, MA
- NPI 1568409902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1992796114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 ESSEX CENTER DR",
"address_2": "SUITE 112",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602910",
"telephone_number": "978-531-1450",
"fax_number": "978-531-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 ESSEX CENTER DR",
"address_2": "SUITE 112",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602910",
"telephone_number": "978-531-1450",
"fax_number": "978-531-9984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGALNICK",
"first_name": "DANIEL",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MA",
"license": "13222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "709518",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MELROSE",
"identifier": "V05676",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HP-MELROSE",
"identifier": "41946",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PILGRIM",
"identifier": "16303",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0261475",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NBPT",
"identifier": "V06392",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HP-NBPT",
"identifier": "AA58597",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "X04063",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.