Dr. Mark McDaniels

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

DE00006052 Issued in WA

Legal business name

DR. MARK MCDANIELS

Practice address

350 S 38TH CT
Suite 225
Renton, WA 98055-5777

Phone

(425) 271-1515

Fax

(425) 228-4146

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Miss Sonya Luedeene Yamamoto

Title

Front Office

Phone

(425) 271-1515

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Mark Kenneth McDaniels, DDS

  • General Practice Dentistry
  • Renton, WA
  • NPI 1154493724
  NPD (past)
• Yuriy G Udod, DMD

  • General Practice Dentistry
  • Renton, WA
  • NPI 1346858511
  NPD (past)

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1386199867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S 38TH CT",
            "address_2": "SUITE 225",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555777",
            "telephone_number": "425-271-1515",
            "fax_number": "425-228-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 38TH CT",
            "address_2": "SUITE 225",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555777",
            "telephone_number": "425-271-1515",
            "fax_number": "425-228-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK MCDANIELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "YAMAMOTO",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "LUEDEENE",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "425-271-1515",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WA",
            "license": "DE00006052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Downing, ATC, MAT, LAT, CSCS
• Carlin Doyle, PA-C
• Dr Kremer Enterprise PLLC Dba Highlands Chiropractic
• Dr Montel R Jenkins DMD PS
• Dr. Crowell, Dr. Nguyen & Associates, PLLC
• Dr. Michelle G. Chang DMD PLLC
• Vera P Dragonchuk, M.A.
• Kirby A Drawbaugh, RPH
• Michelle Drones, ARNP
• Jessica Mt Dubose, MSW, LICSW

• Exclusive Provider Organization in Renton, WA
• Providers in Renton, WA by specialty
• Exclusive Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.