Individual provider Active NPI

Cabel Aron McDonald, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Longview, WA
National Provider Identifier
1023208857
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0438000318 Issued in VA
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0438000318VAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.