Stephen Robert McDonnell, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D9854 Issued in MN

Practice address

5350 S Robert TRL
Inver Grove Heights, MN 55077-1404

Phone

(651) 450-9579

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

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.

• Facial Pain Center PLLC

  • Dental Clinic/Center
  • Roseville, MN
  • NPI 1407325830
  NPD (past)
• PDG, P.a.

  • General Practice Dentistry
  • Inver Grove Heights, MN
  • NPI 1710045117
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255493102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 SMITH AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551072620",
            "telephone_number": "651-222-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 S ROBERT TRL",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550771404",
            "telephone_number": "651-450-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "STEPHEN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D9854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mackie, ED.S.
• Michele Ann Madison, RDH
• Megan Martinez
• Caroline McCard, LICSW
• Sha'Ron F McCray
• Jill Dawn McGill
• Hailey Elizabeth Meade, PT, DPT
• Lydia U Mentowah
• Christine Renee Merkouris
• Metropolitan Endodontics, LTD.

• General Practice Dentistry in Inver Grove Heights, MN
• Providers in Inver Grove Heights, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.