Individual provider Active NPI

Daniel A. McGrath, D.D.S.

  • General Practice Dentistry
  • Noblesville, IN
National Provider Identifier
1114933645
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009915A Issued in IN
Practice address
14780 North Pointe Blvd.
Noblesville, IN 46060-4171
Phone
(317) 770-9730
Fax
(317) 770-7690
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009915A IN Primary

Addresses

Primary practice location

14780 North Pointe Blvd.
Noblesville, IN 46060-4171

Mailing address

14780 North Pointe Blvd.
Noblesville, IN 46060-4171
Phone (317) 770-9730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20161128000162 IN Order and Referring Only - DentistPractitioner - Dentist 5799064218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009915AINMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114933645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 NORTH POINTE BLVD.",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604171",
            "telephone_number": "317-770-9730",
            "fax_number": "317-770-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 NORTH POINTE BLVD.",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460604171",
            "telephone_number": "317-770-9730",
            "fax_number": "317-770-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "DANIEL",
        "middle_name": "A.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009915A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.