Active NPI
Andrew Lawrence McDonald, DDS
- General Practice Dentistry
- Morgan Hill, CA
National Provider Identifier
1265866784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 62574
- Practice address
- 17705 Hale Ave
Suite A1
Morgan Hill, CA 95037-4340 - Phone
- (408) 779-9335
- Fax
- (408) 782-1087
- NPI assigned
- Sep 3, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 62574 | CA | Primary |
Addresses
Primary practice location
17705 Hale Ave
Suite A1
Morgan Hill, CA 95037-4340
Mailing address
17705 Hale Ave
Suite A1
Morgan Hill, CA 95037-4340
Phone (408) 779-9335
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 |
|---|---|---|---|
| 62574 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1265866784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17705 HALE AVE",
"address_2": "SUITE A1",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950374340",
"telephone_number": "408-779-9335",
"fax_number": "669-333-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17705 HALE AVE",
"address_2": "SUITE A1",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950374340",
"telephone_number": "408-779-9335",
"fax_number": "408-782-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "ANDREW",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-03",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "62574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgan Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.