Organization Active NPI

Andrew Winslow McDaniel, DMD, P.a.

  • General Practice Dentistry
  • Lubbock, TX
National Provider Identifier
1306147210
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANDREW WINSLOW MCDANIEL, DMD, P.A.
Practice address
2811 S Loop 289
Ste 12
Lubbock, TX 79423-1488
Phone
(806) 748-9797
Fax
(806) 748-9788
NPI assigned
Nov 9, 2010
Last updated
Nov 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Andrew Winslow McDaniel, DDSNPI 1558423293
Title
Owner
Phone
(806) 748-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

2811 S Loop 289
Ste 12
Lubbock, TX 79423-1488

Mailing address

2811 S Loop 289
Ste 12
Lubbock, TX 79423-1488
Phone (806) 748-9797

National Provider Directory

National Provider Directory
Tax ID family
Andrew Winslow McDaniel DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2811 S Loop 289
Ste 12
Lubbock, TX 79423
Phone (806) 748-9797

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": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1306147210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 S LOOP 289",
            "address_2": "STE 12",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231488",
            "telephone_number": "806-748-9797",
            "fax_number": "806-748-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 S LOOP 289",
            "address_2": "STE 12",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231488",
            "telephone_number": "806-748-9797",
            "fax_number": "806-748-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW WINSLOW MCDANIEL, DMD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WINSLOW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-748-9797",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.