Organization Active NPI

Chewning & McDonald Oral & Maxil PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Florence, SC
National Provider Identifier
1174678783
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CHEWNING & MCDONALD ORAL & MAXIL PA
Practice address
901 E Cheves Street
Ste 440
Florence, SC 29506-2772
Phone
(843) 667-6000
Fax
(843) 667-6240
NPI assigned
Jan 24, 2007
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Thomas Albert McDonald, DMD MD
Title
Oral and Maxillofacial Surgeon
Phone
(843) 667-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X SC Primary

Addresses

Primary practice location

901 E Cheves Street
Ste 440
Florence, SC 29506-2772

Mailing address

901 E Cheves Street
Ste 440
Florence, SC 29506-2772
Phone (843) 667-6000

Other identifiers 1

IdentifierTypeStateIssuer
ZA9867MedicaidSC

National Provider Directory

National Provider Directory

Locations

101 S Ravenel St
Ste 310
Florence, SC 29506
Phone (843) 667-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1174678783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E CHEVES STREET",
            "address_2": "STE 440",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062772",
            "telephone_number": "843-667-6000",
            "fax_number": "843-667-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E CHEVES STREET",
            "address_2": "STE 440",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062772",
            "telephone_number": "843-667-6000",
            "fax_number": "843-667-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEWNING & MCDONALD ORAL & MAXIL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "843-667-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9867",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.