John William McDaniel Jr., JOHN MCDANIEL D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15254 Issued in TX

Practice address

1313 Beltline Rd.
Suite 101
Mesquite, TX 75149

Phone

(972) 289-3330

Fax

(972) 226-0367

NPI assigned

Nov 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• John William McDaniel Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ddsperio, PLLC

  dba Mesquite Dental Solutions

  • Dental Clinic/Center
  • Mesquite, TX
  • NPI 1043793243
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1609056860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BELTLINE RD.",
            "address_2": "SUITE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75149",
            "telephone_number": "972-289-3330",
            "fax_number": "972-226-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BELTLINE RD.",
            "address_2": "SUITE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75149",
            "telephone_number": "972-289-3330",
            "fax_number": "972-226-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "JOHN MCDANIEL D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "MCDANIEL",
            "middle_name": "WILLIAM",
            "suffix": "JR.",
            "credential": "JOHN MCDANIEL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon Elizabeth McCants, MD
• Johnathan E McClintock
• Kimberly Lee McCracken, SLPA
• Carlos McCulloch, RT
• Kelly Jo McCullough, RD,LD
• Andrea Michelle McDonald, D.C.
• Jason Sean McDonald, D.M.D.
• Breunna McGee, PT, DPT
• Erica McKee
• Miriam Simone McKennie

• General Practice Dentistry in Mesquite, TX
• Providers in Mesquite, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.