NPIMap

Organization Active NPI

Ann McDonough, DMD, P.C.

  • General Practice Dentistry
  • Wyoming, PA
National Provider Identifier
1467707828
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS037288 Issued in PA
Legal business name
ANN MCDONOUGH, DMD, P.C.
Practice address
25 East 8TH Street
Wyoming, PA 18644
Phone
(570) 693-1164
NPI assigned
Jul 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Ann Marie McDonough, DMDNPI 1861671414
Title
Dentist
Phone
(570) 693-1164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS037288 PA Primary

Addresses

Primary practice location

25 East 8TH Street
Wyoming, PA 18644

Mailing address

25 East 8TH Street
Wyoming, PA 18644
Phone (570) 693-1164

National Provider Directory

National Provider Directory

Locations

25 E 8th St
Wyoming, PA 18644
Phone (570) 693-1164

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1467707828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EAST 8TH STREET",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "18644",
            "telephone_number": "570-693-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EAST 8TH STREET",
            "city": "WYOMING",
            "state": "PA",
            "postal_code": "18644",
            "telephone_number": "570-693-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN MCDONOUGH, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "570-693-1164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS037288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.