NPIMap

Organization Active NPI

Michael J.H. McDonald DMD,Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Pinole, CA
National Provider Identifier
1013092584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
35644 Issued in CA
Legal business name
MICHAEL J.H. MCDONALD DMD,INC
Practice address
1430 Tara Hills Dr
Suite B
Pinole, CA 94564-2580
Phone
(510) 724-5064
Fax
(510) 724-1887
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael J McDonald, D.M.D.NPI 1265517734
Title
Owner
Phone
(510) 724-5064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 35644 CA Primary

Addresses

Primary practice location

1430 Tara Hills Dr
Suite B
Pinole, CA 94564-2580

Mailing address

1430 Tara Hills Dr
Suite B
Pinole, CA 94564-2580
Phone (510) 724-5064

National Provider Directory

National Provider Directory

Locations

1430 Tara Hills Dr
Ste B
Pinole, CA 94564
Phone (510) 724-5064

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013092584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TARA HILLS DR",
            "address_2": "SUITE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642580",
            "telephone_number": "510-724-5064",
            "fax_number": "510-724-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TARA HILLS DR",
            "address_2": "SUITE B",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642580",
            "telephone_number": "510-724-5064",
            "fax_number": "510-724-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J.H. MCDONALD DMD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-724-5064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "35644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.