Organization Active NPI

Dr SM McDonald DMD PLLC

  • General Practice Dentistry
  • Wenatchee, WA
National Provider Identifier
1194692228
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DR SM MCDONALD DMD PLLC
Doing business as
CASCADE TMJ AND AIRWAY
Practice address
330 King St Ste 8
Wenatchee, WA 98801-2857
Phone
(509) 293-7109
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Stacey McDonald, DMDNPI 1184154619
Title
Owner
Phone
(509) 670-5583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

330 King St Ste 8
Wenatchee, WA 98801-2857

Mailing address

330 King St Ste 8
Wenatchee, WA 98801-2857
Phone (509) 293-7109

Other names 2

  • CASCADE TMJ AND AIRWAY Doing business as
  • CASCADE ADVANCED DENTISTRY Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260316001616 WA Part B Supplier - Clinic/Group Practice 6608359849 Receives reassigned benefits from 1 practitioner
Practice locations: Wenatchee, WA
O20260327000678 WA DME Supplier - Oral Surgery - Dentist 6608359849 Practice locations: Wenatchee, WA

National Provider Directory

National Provider Directory

Locations

330 King St
Ste 8
Wenatchee, WA 98801
Phone (509) 293-7109

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1194692228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 KING ST STE 8",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012857",
            "telephone_number": "509-293-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 KING ST STE 8",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012857",
            "telephone_number": "509-293-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SM MCDONALD DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-670-5583",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASCADE TMJ AND AIRWAY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CASCADE ADVANCED DENTISTRY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.