Individual provider Active NPI

Conway McDanald, M.D.

  • Psychiatry Physician
  • Coppell, TX
National Provider Identifier
1356506083
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
F1797 Issued in TX
Practice address
1199 S Belt Line Rd
Suite 100
Coppell, TX 75019-4666
Phone
(972) 906-2891
Fax
(972) 906-2780
NPI assigned
Jul 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X F1797 TX Primary

Addresses

Primary practice location

1199 S Belt Line Rd
Suite 100
Coppell, TX 75019-4666

Mailing address

1199 S Belt Line Rd
Suite 100
Coppell, TX 75019-4666
Phone (972) 906-2891

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F1797TXMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1356506083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1199 S BELT LINE RD",
            "address_2": "SUITE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194666",
            "telephone_number": "972-906-2891",
            "fax_number": "972-906-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 S BELT LINE RD",
            "address_2": "SUITE 100",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194666",
            "telephone_number": "972-906-2891",
            "fax_number": "972-906-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANALD",
        "first_name": "CONWAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "F1797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.