DR. CONRAD MAGNO DDS NPI 1215125935

NPI Information

NPI: 1215125935
Provider Name: DR. CONRAD MAGNO, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
1220 W OGDEN AVE
SUITE A
NAPERVILLE, IL
ZIP 60563
Phone: (630) 848-1212
Get Directions

DR. Conrad Magno, DDS is a general practice dentist in Naperville, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Conrad Magno, DDS NPI is 1215125935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1220 W OGDEN AVE
SUITE A
NAPERVILLE, IL
ZIP 60563-969
Phone: (630) 848-1212
Fax: (630) 848-1254

The NPI 1215125935 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/9/2007 and was last updated on 2/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223D0004X	Dentist	Dentist Anesthesiologist	137.000681	ILLINOIS	No
2	1223G0001X	Dentist	General Practice	019.026625	ILLINOIS	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	019.026625	ILLINOIS	No
4	1223G0001X	Dentist	General Practice	62002	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1851529382	MEDICAID	ILLINOIS
2	1851529832	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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