Andrew McDonald, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN27901 Issued in FL

Practice address

131 2ND Ave S
St Petersburg, FL 33701-4382

Phone

(727) 350-6222

NPI assigned

Aug 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 6, 2026 through Feb 6, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cornali & McDonald Orthodontic Specialitst LTD. Co.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albuquerque, NM
  • NPI 1639616139
  NPD (past) Authorized official
• John M. Cornali, DDS, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Albuquerque, NM
  • NPI 1962532184
  NPD (past)

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1053710293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 2ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014382",
            "telephone_number": "727-350-6222",
            "fax_number": "913-381-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 2ND AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014382",
            "telephone_number": "727-350-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8010 Palomas Ave Suite A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87109",
            "country_code": "US",
            "telephone_number": "913-381-6644",
            "fax_number": "913-381-6646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-13",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD4636",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014021256",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN27901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah McCredden, RN
• Katherine McCulloch, PH.D.
• Christina McCullough, LCSW
• Edward F McCullough, ARNP
• Paige Haley McDaniel, LCSW
• Bernadette Marie McDonald, ARNP
• Kelly McDonnell, M.S., SLP
• Emily A McDonough
• Sandra McDonough, MS, CGC, LGC
• Eric McDougle, P.A.

• Orthodontics and Dentofacial Orthopedics Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.