NPIMap

Organization Active NPI

Barnes and McDonnell Pediatric Dentistry

  • Pediatric Dentistry
  • Port Orange, FL
National Provider Identifier
1538477484
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BARNES AND MCDONNELL PEDIATRIC DENTISTRY
Practice address
1440 Reed Canal Rd
Suite 103
Port Orange, FL 32129-9418
Phone
(386) 760-0550
Fax
(386) 756-1009
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Sean T. McDonnell, D.D.S.
Title
Partner
Phone
(386) 760-0550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1440 Reed Canal Rd
Suite 103
Port Orange, FL 32129-9418

Mailing address

1440 Reed Canal Rd
Suite 103
Port Orange, FL 32129-9418
Phone (386) 760-0550

National Provider Directory

National Provider Directory

Locations

1440 Reed Canal Rd
Ste 103
Port Orange, FL 32129
Phone (386) 760-0550

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1538477484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 REED CANAL RD",
            "address_2": "SUITE 103",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299418",
            "telephone_number": "386-760-0550",
            "fax_number": "386-756-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 REED CANAL RD",
            "address_2": "SUITE 103",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299418",
            "telephone_number": "386-760-0550",
            "fax_number": "386-756-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNES AND MCDONNELL PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "386-760-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.