Active NPI
Rodney A McDaniel, D.D.S.
- Dentist
- Yorktown, VA
National Provider Identifier
1023277720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401412142
- Practice address
- 4326 George Washington Memorial Highway
Yorktown, VA 23692 - Phone
- (757) 898-6788
- Fax
- (757) 898-1042
- NPI assigned
- Jun 6, 2008
- Sex
- Male
- Sole proprietor
- No
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 | 0401412142 | VA | |
| Dentist | 122300000X | 0401412142 | VA | Primary |
Addresses
Primary practice location
4326 George Washington Memorial Highway
Yorktown, VA 23692
Mailing address
4326 George Washington Memorial Highway
Yorktown, VA 23692
Phone (757) 898-6788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401412142 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yorktown Dental, PLLC | Dentist | Past | Accepting new patients |
| Yorktown Dental | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Yorktown, VA
- NPI 1740428168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1023277720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4326 GEORGE WASHINGTON MEMORIAL HIGHWAY",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "23692",
"telephone_number": "757-898-6788",
"fax_number": "757-898-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4326 GEORGE WASHINGTON MEMORIAL HIGHWAY",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "23692",
"telephone_number": "757-898-6788",
"fax_number": "757-898-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "RODNEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401412142",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401412142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.