Gary Wayne McDonald, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11442 Issued in TX

Practice address

2300 Green Oak Dr
Suite # 600
Kingwood, TX 77339-2048

Phone

(281) 358-2002

Fax

(281) 358-3855

NPI assigned

Jul 8, 2005

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)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kingwood Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Kingwood, TX
  • NPI 1902572720
  NPD Authorized official

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1275531774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GREEN OAK DR",
            "address_2": "SUITE # 600",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392048",
            "telephone_number": "281-358-2002",
            "fax_number": "281-358-3855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GREEN OAK DR",
            "address_2": "SUITE # 600",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392048",
            "telephone_number": "281-358-2002",
            "fax_number": "281-358-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "11442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Beth McCrory
• Tara R McCullough, MA, LPC
• Allison Josette McDade, M.D.
• McDavid Medical Services
• Amanda McDonald
• Zakary Paul McDonald
• Amber Rachelle McIlroy, M.S.,CCC-SLP
• Kelly McIntyre, PA-C
• Holly Pavlick McIver, D.D.S., M.S.D.
• Amber Leigh McKellar

• Oral and Maxillofacial Surgery (Dentist) in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.