Edward Randall McLeary, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5019 Issued in WA

Practice address

18310 Sr 410 E
Bonney Lake, WA 98391-8532

Phone

(253) 863-5188

Fax

(253) 863-4751

NPI assigned

Nov 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063496388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 SR 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918532",
            "telephone_number": "253-863-5188",
            "fax_number": "253-863-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 SR 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918532",
            "telephone_number": "253-863-5188",
            "fax_number": "253-863-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEARY",
        "first_name": "EDWARD",
        "middle_name": "RANDALL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Elizabeth McCabe
• Ronald Allen McCorkle, DC
• Charis Marie McCoy, APRN FNP-BC
• Linda Kay McCoy, LMP
• Susan E McDonald, MD
• Mikel McMakin, PA-C
• Veronica McNeal
• Errol Justin Medel, D.C.
• Lisa Craigs Medel, D.C.
• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance

• General Practice Dentistry in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.