Active NPI
Thomas J McDonald DDS PC
- Dental Clinic/Center
- Mount Pleasant, MI
National Provider Identifier
1366896490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 14262
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Gladwin, MI
- NPI 1457435067
-
- Dentist
- Chesaning, MI
- NPI 1568101194
-
- General Practice Dentistry
- Mt Pleasant, MI
- NPI 1427285246
-
- Dentist
- Mt Pleasant, MI
- NPI 1821151465
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.