Marc Warren McDaniel, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

14218 Issued in TX

Practice address

1209 Main St
Commerce, TX 75428-2607

Phone

(903) 886-6945

Fax

(903) 886-2071

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McDaniel General Dentistry

  • General Practice Dentistry
  • Commerce, TX
  • NPI 1306001706
  NPD (past) Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609091552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 MAIN ST",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754282607",
            "telephone_number": "903-886-6945",
            "fax_number": "903-886-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 MAIN ST",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754282607",
            "telephone_number": "903-886-6945",
            "fax_number": "903-886-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "MARC",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul M Lee, MD
• Joseph Liistro III, D.C.
• Meagan Elizabeth Madere, M.S. CCC-SLP
• Kellie McBroom, OTR
• McDaniel General Dentistry
• Mary Grace McDaniel, D.D.S.
• Latisha Michelle McMurray
• Maxine Mendoza, PA-C
• Sarah Marie Mitchell, ATC, LAT
• Victoria Mitchell

• Dentist in Commerce, TX
• Providers in Commerce, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.