John Lewis McDonald, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D6531 Issued in OR

Practice address

1855 W Nob Hill St SE
Suite 300
Salem, OR 97302-5287

Phone

(503) 585-5400

Fax

(503) 362-0546

NPI assigned

Aug 17, 2007

Sex

Male

Sole proprietor

Yes

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)

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.

• McDonald Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Salem, OR
  • NPI 1366518672
  NPD (past) Authorized official

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1134311772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W NOB HILL ST SE",
            "address_2": "SUITE 300",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025287",
            "telephone_number": "503-585-5400",
            "fax_number": "503-362-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W NOB HILL ST SE",
            "address_2": "SUITE 300",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025287",
            "telephone_number": "503-585-5400",
            "fax_number": "503-362-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JOHN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D6531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber McDonald
• Chris M McDonald
• Clark E McDonald, MD
• Darren Michael McDonald, M.DIV.
• James Robert McDonald, MD
• Jordana McDonald, FNP-C
• Tasha Lee McDonald, MD
• Vanessa Angela McDonald, DO
• Colleen Bridget McDonough, D.C.
• Stephanie McDowall, AUD

• Orthodontics and Dentofacial Orthopedics Dentistry in Salem, OR
• Providers in Salem, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.