Organization Active NPI

Thomas J McDonald DDS PC

  • Dental Clinic/Center
  • Mount Pleasant, MI
National Provider Identifier
1366896490
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14262 Issued in MI
Legal business name
THOMAS J MCDONALD DDS PC
Practice address
117 S Kinney Ave
Mount Pleasant, MI 48858-2702
Phone
(989) 773-2133
Fax
(989) 779-1054
NPI assigned
Apr 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Dr. Thomas John McDonald
Title
Owner
Phone
(989) 773-2133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 14262 MI Primary

Addresses

Primary practice location

117 S Kinney Ave
Mount Pleasant, MI 48858-2702

Mailing address

117 S Kinney Ave
Mt Pleasant, MI 48858-2702
Phone (989) 773-2133

Other practice location 1

135 S Bowery Ave
Gladwin, MI 48624-2013
Phone (989) 426-6581

National Provider Directory

National Provider Directory

Locations

306 N State St
Alma, MI 48801
Phone (989) 463-4036

135 S Bowery Ave
Gladwin, MI 48624
Phone (989) 426-6581

117 S Kinney Ave
Mt Pleasant, MI 48858
Phone (989) 773-2133

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1366896490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S KINNEY AVE",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582702",
            "telephone_number": "989-773-2133",
            "fax_number": "989-779-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S KINNEY AVE",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582702",
            "telephone_number": "989-773-2133",
            "fax_number": "989-779-1054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 S Bowery Ave",
            "address_purpose": "LOCATION",
            "city": "Gladwin",
            "state": "MI",
            "postal_code": "486242013",
            "country_code": "US",
            "telephone_number": "989-426-6581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THOMAS J MCDONALD DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-773-2133",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "14262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.