Individual provider Active NPI

Ellen McDonald, D.D.S.

  • General Practice Dentistry
  • Hot Springs, AR
National Provider Identifier
1386736676
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2877 Issued in AR
Practice address
221 Airport Rd
Space G
Hot Springs, AR 71913-4060
Phone
(501) 321-3503
Fax
(501) 321-4973
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2877 AR Primary

Addresses

Primary practice location

221 Airport Rd
Space G
Hot Springs, AR 71913-4060

Mailing address

221 Airport Rd
Space G
Hot Springs, AR 71913-4060
Phone (501) 321-3503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 4, 2016 through Mar 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2877ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Dental of Arkansas General Practice Past Accepting new patients

Organizations & group practices 1

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1386736676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 AIRPORT RD",
            "address_2": "SPACE G",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134060",
            "telephone_number": "501-321-3503",
            "fax_number": "501-321-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 AIRPORT RD",
            "address_2": "SPACE G",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134060",
            "telephone_number": "501-321-3503",
            "fax_number": "501-321-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.