Cheryl Eileen McDonough, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

44939 Issued in CA

Practice address

67 Via Pico PLZ
San Clemente, CA 92672-3998

Phone

(949) 492-0042

Fax

(949) 492-0047

NPI assigned

Nov 21, 2005

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Aug 8, 2016 through Aug 8, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Cheryl E. McDonough, DMD, Apc

  • Dental Clinic/Center
  • San Clemente, CA
  • NPI 1962524454
  NPD (past) Authorized official

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1306829643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 VIA PICO PLZ",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723998",
            "telephone_number": "949-492-0042",
            "fax_number": "949-492-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 VIA PICO PLZ",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926723998",
            "telephone_number": "949-492-0042",
            "fax_number": "949-492-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "CHERYL",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Mayorga
• Mary Ann McConnell
• Kelsey McCoy
• Celia McCrary
• Belinda Jane McDonald, PT, COMT
• Ronald K. McGee, MD
• Mary Beth McGowan, NP
• Emily McKillip
• T'Kara Lynees McKinney, COTA/L
• Helena Marie McLain, LCSW

• General Practice Dentistry in San Clemente, CA
• Providers in San Clemente, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.