McAdoo Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08693 Issued in MI

Legal business name

MCADOO DENTAL

Practice address

18424 W McNichols Rd
Detroit, MI 48219-4161

Phone

(313) 537-3800

Fax

(313) 537-2080

NPI assigned

Jan 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald McAdoo, D.D.S.

Title

Owner

Phone

(313) 537-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John H Carson, DDS

  • Dentist
  • Detroit, MI
  • NPI 1871654012
  NPD (past)
• Jernice McAdoo, D.D.S.

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1366509713
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417014770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18424 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194161",
            "telephone_number": "313-537-3800",
            "fax_number": "313-537-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18424 W MCNICHOLS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194161",
            "telephone_number": "313-537-3800",
            "fax_number": "313-537-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCADOO DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCADOO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-537-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "08693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4056710",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janessa Mbagwu, DO
• Raymond Tamambang Mbah, MD
• Chineze Ekilisie Mbanugo, MD
• Bernard Asonganyi Mbeboh, MD
• Alyson McAdams
• Jernice McAdoo, D.D.S.
• Lamara Jaye McAdoo, CPSS
• Markese Lynette McAdoo
• Rhodia McAdoo, BA,RSST
• Devin McAfee

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.