Active NPI
Ian Robert McDonald, DDS
- General Practice Dentistry
- Hickory, NC
National Provider Identifier
1528597259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10687
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10687 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan C Sigmon, DMD, PA | Past | 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.
-
- Dentist
- Hickory, NC
- NPI 1114443975
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.