Mark T McDonald, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3958 Issued in ID

Practice address

3246 12TH Ave Rd
Nampa, ID 83686-8404

Phone

(208) 467-9690

Fax

(208) 466-0412

NPI assigned

Aug 9, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

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.

• Gentle Dental Care PLLC

  • General Practice Dentistry
  • Nampa, ID
  • NPI 1902077001
  NPD (past) Authorized official

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1063604429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868404",
            "telephone_number": "208-467-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868404",
            "telephone_number": "208-467-9690",
            "fax_number": "208-466-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807650200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin M McCoy, M.D.
• Jacqueline J. McCoy, F.N.P., M.S.N.
• Malissa M McCulloch, LPC
• Paula McCurry, CNP
• Alison Rebecca McDonald
• Rebecca Ann McDonald, FNP- BC
• Robert B McDonald, DMD
• Barry McGarrah
• Brian J. McGourty, O.D.
• Linda McIntosh

• General Practice Dentistry in Nampa, ID
• Providers in Nampa, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.