Dianne Marie McDonald, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.015479 Issued in OH

Practice address

17500 Madison Ave
Lakewood, OH 44107-3535

Phone

(216) 521-2424

Fax

(216) 521-8497

NPI assigned

Nov 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427120419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073535",
            "telephone_number": "216-521-2424",
            "fax_number": "216-521-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 MADISON AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073535",
            "telephone_number": "216-521-2424",
            "fax_number": "216-521-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.015479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "30.015479",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "7928",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan M Matthews, LPCC
• Daniel Michael Mazzeo, LISW-S
• Ellen Rae McCafferty, M.A. CCC/SLP
• Cynthia L McCormack
• Heather Marie McCormick
• Tracy Ann McGowan-Cole, RN
• Elizabeth Anne Snyder McKenna, AU.D.
• Teegan McKeon, CNP
• Timothy J McKnight, M.D.
• Aggie Jean McLaughlin

• General Practice Dentistry in Lakewood, OH
• Providers in Lakewood, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.