DR. JOHN ROBERT MAGNACCA (NPI# 1417009150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417009150 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT MAGNACCA |
| Credential | DDS |
| Practice Address |
900 Nw 13th St Suite 202 Boca Raton FL 33486-2335 |
| Mailing Address |
900 Nw 13th Street Suite 202 Boca Raton FL 33486 |
| Practice Telephone | 5613916234 |
| Practice Fax Number | 5613910743 |
| Mailing Telephone | 5613916234 |
| Mailing Fax Number | 5613910743 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
06221 | FL | Dental Providers |
| Street Address |
900 NW 13TH ST SUITE 202 |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486-2335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982672861 | John T Bowman | Dentist | 900 Nw 13th St, Boca Raton, FL 33486-2335 | 2006-03-08 |
| 1528523784 | Headstart Clinics LLC | Prosthetic/Orthotic Supplier | 900 Nw 13th St, Boca Raton, FL 33486-2335 | 2019-02-01 |
| 1548701840 | Ear Nose & Throat Associates of South Florida, Pa | Otolaryngology | 900 Nw 13th St, Suite 206, Boca Raton, FL 33486-2335 | 2017-03-20 |
| 1396112447 | Alexis Heffner | Audiologist | 900 Nw 13th St, 206, Boca Raton, FL 33486 | 2015-08-25 |
| 1912341744 | W R Rosen Inc | Prosthetic/Orthotic Supplier | 900 Nw 13th St, Ste 105, Boca Raton, FL 33486-2335 | 2013-04-23 |
| 1275831224 | Maria S. Wozniak M.d. | Internal Medicine | 900 Nw 13th St, Suite 303, Boca Raton, FL 33486-2335 | 2011-02-28 |
| 1881859049 | Daniel T Ganc | Otolaryngology | 900 Nw 13th St, Suite 206, Boca Raton, FL 33486-2335 | 2008-07-26 |
| 1518120930 | Jose V Castellanos Md Pllc | Internal Medicine | 900 Nw 13th St, Suite 203, Boca Raton, FL 33486-2335 | 2008-07-07 |
| 1417123522 | Ania Danielle Carlson | Anesthesiology | 900 Nw 13th St, Suite 302, Boca Raton, FL 33486-2335 | 2008-05-08 |
| 1740452325 | East Boca Dental Implants&prosthodontics | Dentist | 900 Nw 13th St, Suite 300, Boca Raton, FL 33486-2335 | 2008-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1285160440 | Mary Lauderdale | Developmental Therapist | 836 Sw 9th St Circle, Boca Raton, FL 33486 | 2017-05-10 |
| 1932631827 | Boca Ri LLC | Psychiatric Residential Treatment Facility | 1000 Nw 15th St, Boca Raton, FL 33486 | 2017-03-30 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| Find all providers in zip 33486 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1023060498 | Gary Jon Wayne | Dentist | 2500 N Military Trl, Suite 308, Boca Raton, FL 33431-6344 | 2006-05-16 |
| 1366991317 | Florida Surgical Arts Pllc | Dentist | 7301 W Palmetto Park Rd, Suite 204c, Boca Raton, FL 33433-3458 | 2016-09-30 |
| 1013369438 | Michael London | Dentist | 9980 Central Park Blvd N Ste 113, Boca Raton, FL 33428-1703 | 2016-07-09 |
| 1295140416 | Dr. Henry M Lennon | Dentist | 2499 Glades Rd, Boca Raton, FL 33431-7209 | 2014-06-26 |
| 1114348323 | Minelle M. Tendler Dmd Pa | Dentist | 595 S Federal Hwy Ste 130, Boca Raton, FL 33432-6096 | 2013-12-16 |
| 1609124213 | Gary J Wayne Dmd,pa | Dentist | 2500 N Military Trl, Suite 308, Boca Raton, FL 33431-6344 | 2012-08-29 |
| 1285869933 | Boca Raton Center for Oral Facial & Implant Surgery, LLC | Dentist | 2499 Glades Rd, Suite 309, Boca Raton, FL 33431-7202 | 2009-05-26 |
| 1568626265 | Allyn E. Segelman | Dentist | 20423 State Road 7, Suite F18, Boca Raton, FL 33498-6797 | 2008-07-11 |
| 1821291873 | Gary J Wayne Dmd Pa | Dentist | 2500 N Military Trl, Suite 308, Boca Raton, FL 33431-6344 | 2007-06-07 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.