Individual provider Active NPI

Ian Robert McDonald, DDS

  • General Practice Dentistry
  • Hickory, NC
National Provider Identifier
1528597259
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10687 Issued in NC
Practice address
2782 2ND St NE
Hickory, NC 28601
Phone
(828) 267-6858
NPI assigned
Jun 6, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10687 NC Primary

Addresses

Primary practice location

2782 2ND St NE
Hickory, NC 28601

Mailing address

2782 2ND St NE
Hickory, NC 28601-1469
Phone (828) 267-6858

Other practice location 1

231 13th Avenue Pl NW
Hickory, NC 28601-2570
Phone (828) 322-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10687NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan C Sigmon, DMD, PA PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1528597259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2782 2ND ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011469",
            "telephone_number": "828-267-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2782 2ND ST NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "828-267-6858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 13th Avenue Pl NW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286012570",
            "country_code": "US",
            "telephone_number": "828-322-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "IAN",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.