John C. O'Donald, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013186 Issued in MI

Practice address

1330 W Washington St
Greenville, MI 48838-2190

Phone

(616) 754-7414

Fax

(616) 754-7888

NPI assigned

Apr 23, 2007

Last updated

Jun 9, 2010By the provider in NPPES

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 MI

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

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.

• John C. O'Donald DDS PC

  • General Practice Dentistry
  • Greenville, MI
  • NPI 1114367000
  Authorized official Same address or phone

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1437377595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382190",
            "telephone_number": "616-754-7414",
            "fax_number": "616-754-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382190",
            "telephone_number": "616-754-7414",
            "fax_number": "616-754-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONALD",
        "first_name": "JOHN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Nichoson
• Nick Comai, LLC
• Elizabeth Nisper, MD
• North Kent Guidance Serivces
• North Kent Guidance Services LLC
• Shannon Kathleen O'Keefe, PA
• Kevin T Oconnor, DO
• Kimberlee J Odonald, PT
• Olja Haglund, LMSW, LLC
• Paula Jean Ollila

• General Practice Dentistry in Greenville, MI
• Providers in Greenville, 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 Jun 9, 2010; 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.