Chanette Ann McDonald, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

100535 Issued in CA

Practice address

72333 Highway 111
Ste. B
Palm Desert, CA 92260-2790

Phone

(202) 321-9480

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1023480647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72333 HIGHWAY 111",
            "address_2": "STE. B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602790",
            "telephone_number": "202-321-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72333 HIGHWAY 111",
            "address_2": "STE. B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602790",
            "telephone_number": "202-321-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CHANETTE",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Sean McCauley, LPN/LVN
• Sasha Brianne Rashein McClain
• Simone Regine McClain
• Ross Brian McCormack, PT DPT OCS
• Betty Lou McDonald
• Megan McDonald, CCC-SLP
• Thomas Scott McGalliard, DDS
• Sherilyn Ann McGee, LVN
• Kelly McGill, FNP
• Joshua Alexander McIlroy

• Dentist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.

Verify at the official NPI Registry.