NPIMap

Organization Active NPI

Dr. Keith T. Macdonald

  • General Practice Dentistry
  • Archdale, NC
National Provider Identifier
1316116205
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4921 Issued in NC
Legal business name
DR. KEITH T. MACDONALD
Practice address
9924 US Highway 311
Archdale, NC 27263-8826
Phone
(336) 434-3186
Fax
(336) 434-3189
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Keith Thomas Macdonald, D.D.S.NPI 1124138771
Title
President
Phone
(336) 434-3186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4921 NC Primary

Addresses

Primary practice location

9924 US Highway 311
Archdale, NC 27263-8826

Mailing address

9924 US Highway 311
Archdale, NC 27263-8826
Phone (336) 434-3186

National Provider Directory

National Provider Directory

Locations

9924 US Highway 311
Archdale, NC 27263
Phone (336) 434-3186

Practitioners & affiliated clinicians

Practitioners 4

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": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1316116205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9924 US HIGHWAY 311",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272638826",
            "telephone_number": "336-434-3186",
            "fax_number": "336-434-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9924 US HIGHWAY 311",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272638826",
            "telephone_number": "336-434-3186",
            "fax_number": "336-434-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEITH T. MACDONALD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-434-3186",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Archdale, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.