Yaa Noel McDonald, D.M.D

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

021002613 Issued in IL

Practice address

16345 Harlem Avenue
Suite 150
Tinley Park, IL 60559-1514

Phone

(708) 633-8700

NPI assigned

Jul 24, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Joyful Smiles Pediatric Dentistry of Bradley

  • Pediatric Dentistry
  • Bradley, IL
  • NPI 1417637158
  NPD Authorized official
• Yaa N. Owusu DMD, MDS, PC

  • Pediatric Dentistry
  • Tinley Park, IL
  • NPI 1851071500
  NPD Authorized official

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

{
    "created_epoch": "1279929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1124331731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16345 HARLEM AVENUE",
            "address_2": "SUITE 150",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "606513511",
            "telephone_number": "773-290-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16345 HARLEM AVENUE",
            "address_2": "SUITE 150",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "605591514",
            "telephone_number": "708-633-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "YAA",
        "middle_name": "NOEL",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-24",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "021002613",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine Elizabeth McComis
• Taylor Morgan McCourt
• Brandy McCrudden, DNP, PMHNP-BC
• Brittney Renae McDaniel
• Morgan McDermott
• Chandra McFall
• Kelly McGee, LPC
• Jessica McGeorge, FNP-BC
• Craig McGill, LPC
• Molly McGinty

• Pediatric Dentistry in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.