John James McDonald, DDS
Individual provider Active NPI General Practice Dentistry · Randolph a F B, TX
NPI 1023004405 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1023004405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 17587 (TX)
- Practice address
- 221 3Rd St W
Randolph a F B, TX 78150-4800 - Phone
- (210) 652-1846
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17587 | TX | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 17587 | TX | Yes |
Addresses
Primary practice location
221 3Rd St W
Randolph a F B, TX 78150-4800
Mailing address
4227 Autumn Glade
San Antonio, TX 78247-2037
Phone (210) 490-5695
Other providers in Randolph a F B, TX
- David Carey
- Cesario Ferrer Ferrer Jr.
- John I Hudson
- James B Kopp
- James Ronald Little
- Richard Leroy Mooney
- Jesse Wayne Richardson
- Phillip R. Sandefur
- Steven Robert Stanek
- Leonard E. Trout III
All providers in Randolph a F B, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.