Active NPI
Cabel Aron McDonald, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Longview, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0438000318
- Practice address
- 855 11TH Ave Ste B
Longview, WA 98632 - Phone
- (360) 425-7220
- Fax
- (360) 425-5045
- NPI assigned
- Jul 27, 2007
- Last updated
- Nov 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DE00010956 | WA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0438000318 | VA | Primary |
Addresses
Primary practice location
855 11TH Ave Ste B
Longview, WA 98632
Mailing address
855 11TH Ave Ste B
Longview, WA 98632-2461
Phone (360) 425-7220
Other practice location 1
5005 N Piedras St
US ARMY DENTAL ACTIVITY FT Bliss
El Paso, TX 79920-5002
Phone (915) 742-5712
Other practice location 2
2404 W Main St Ste 110
Battle Ground, WA 98604-4235
Phone (360) 425-7220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0438000318 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cabel Aron McDonald DDS PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Cabel McDonald DDS PLLC | Current | Accepting new patients | |
| Signature Oral Surgery & Implants - Lubbock, PLLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
855 11th Ave
Ste B
Longview, WA 98632
Phone (253) 459-5483
Organizations & group practices 4
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.
-
dba Longview Oral & Maxillofacial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- Olympia, WA
- NPI 1134886328
-
dba Salmon Creek Oral Surgery & Periodontics
- Oral and Maxillofacial Surgery Clinic/Center
- Vancouver, WA
- NPI 1518538511
-
- Oral and Maxillofacial Surgery (Dentist)
- Lubbock, TX
- NPI 1578405163
-
dba Longview Oral & Maxillofacial Surgery
- Oral and Maxillofacial Surgery Clinic/Center
- Longview, WA
- NPI 1386176675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542585600000",
"number": "1023208857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 11TH AVE STE B",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322461",
"telephone_number": "360-425-7220",
"fax_number": "360-425-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 11TH AVE STE B",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "98632",
"telephone_number": "360-425-7220",
"fax_number": "360-425-5045"
}
],
"practiceLocations": [
{
"address_1": "5005 N Piedras St",
"address_2": "US ARMY DENTAL ACTIVITY FT Bliss",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799205002",
"country_code": "US",
"telephone_number": "915-742-5712",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2404 W Main St Ste 110",
"address_purpose": "LOCATION",
"city": "Battle Ground",
"state": "WA",
"postal_code": "986044235",
"country_code": "US",
"telephone_number": "360-425-7220",
"fax_number": "360-425-5045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "CABEL",
"middle_name": "ARON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-27",
"last_updated": "2018-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "DE00010956",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0438000318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.