Individual provider Active NPI

Jeanine M McDonald, DDS

  • General Practice Dentistry
  • Hanover, NH
National Provider Identifier
1346450210
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3883 Issued in NH
Practice address
71 Lyme Rd
Hanover, NH 03755-1253
Phone
(509) 868-7785
Fax
(603) 643-0241
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3883 NH Primary

Addresses

Primary practice location

71 Lyme Rd
Hanover, NH 03755-1253

Mailing address

642 Hanover Center Rd Ste 2
Hanover, NH 03755-4921
Phone (509) 868-7785

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

LicenseStateTypeSpecialty
3883NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Dental Sleep Center, PLLC CurrentSince Apr 23, 2023 Accepting new patients
McDonald & Melkers, DDS General Practice Past Accepting new patients
McWilliams and Wonsavage Dentistry Partnership General Practice PastSince Apr 23, 2023 Accepting new patients

Locations

71 Lyme Rd
Hanover, NH 03755
Phone (509) 868-7785

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1346450210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 HANOVER CENTER RD STE 2",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037554921",
            "telephone_number": "509-868-7785",
            "fax_number": "603-643-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 LYME RD",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037551253",
            "telephone_number": "509-868-7785",
            "fax_number": "603-643-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JEANINE",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.