James Harry McDermott, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20171 Issued in IL

Practice address

904 S 2ND St
Springfield, IL 62704-2702

Phone

(217) 528-2341

Fax

(217) 528-0012

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396759353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 S 2ND ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042702",
            "telephone_number": "217-528-2341",
            "fax_number": "217-528-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S 2ND ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042702",
            "telephone_number": "217-528-2341",
            "fax_number": "217-528-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "JAMES",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "20171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina L McDaniel, PA-C
• Elizabeth McDaniel, D.O.
• Richard T McDaniel, DDS
• Amanda Joann McDannald, DNP
• Chloe McDannald, RBT
• Mary McDermott, PT
• Sandra C McDermott, LCPC
• Dana L McDonald, SLP
• Jayne Brickley McDonald, MSW,LCSW,AAMFT
• Taylor N McDonald, LPC

• General Practice Dentistry in Springfield, IL
• Providers in Springfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.