Active NPI
Karla Renee McDonald, DDS
- General Practice Dentistry
- Wisconsin Rapids, WI
National Provider Identifier
1124463443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7226-15
- Practice address
- 406 Daly Ave
Wisconsin Rapids, WI 54494-4744 - Phone
- (715) 421-1515
- NPI assigned
- Apr 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7226-15 | WI | Primary |
Addresses
Primary practice location
406 Daly Ave
Wisconsin Rapids, WI 54494-4744
Mailing address
406 Daly Ave
Wisconsin Rapids, WI 54494-4744
Phone (715) 421-1515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7226-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karla R McDonald DDS LLC | General Practice | Current | Accepting new patients |
| Riverhill Dental Associates SC | General Practice | Past | Accepting new patients |
Locations
406 Daly Ave
Wisconsin Rapids, WI 54494
Phone (715) 421-1515
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Wisconsin Rapids, WI
- NPI 1619674470
-
- General Practice Dentistry
- Wisconsin Rapids, WI
- NPI 1316142714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442880000000",
"number": "1124463443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 DALY AVE",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544944744",
"telephone_number": "715-421-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 DALY AVE",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544944744",
"telephone_number": "715-421-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KARLA",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-30",
"last_updated": "2015-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "7226-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wisconsin Rapids, WI
- Heather Lisa McCarthy, PT, DPT
- Elizabeth Pauline McCarville
- Brenda Jo McClellan-Tilson, APNP, MSN
- Karen Joan McClyman-Tischer
- McCray Chiropractic LLC
- McDonough Orthopaedic and Sports Medicine Center SC
- McDonough Orthopaedic and Sports Medicine Center SC
- McDonough Orthopaedic and Sports Medicine Center SC
- McDonough Orthopaedic and Sports Medicine Center SC
- John W McDonough II, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.