Michael David McDaniel, D.M.D.P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

273893 Issued in MS

Practice address

501 Park Ave
Indianola, MS 38751-2355

Phone

(662) 887-1272

Fax

(662) 887-6453

NPI assigned

Sep 27, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Dental Care

  • Dental Clinic/Center
  • Indianola, MS
  • NPI 1679063176
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417048182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 972",
            "address_2": "501 PARK AVENUE",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387510972",
            "telephone_number": "662-887-1272",
            "fax_number": "662-887-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PARK AVE",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512355",
            "telephone_number": "662-887-1272",
            "fax_number": "662-887-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "273893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660041",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lovett Chiropractic Inc.
• James Michael Lovett, D.C.
• Magic Mart Pharmacy, Inc (Magic Mart Pharmacy, DS)
• Magic Mart Pharmacy,Inc
• Magic Mart Pharmacy,Inc (Magic Mart Pharmacy LTC)
• Steven Alan McKay, PHARMACIST
• Mary E McNeer, CFNP
• Rivers Miller
• Mindset Health LLC
• Mississippi State Department of Health

• General Practice Dentistry in Indianola, MS
• Providers in Indianola, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.