NPIMap

Organization Active NPI

Karla R McDonald DDS LLC

  • General Practice Dentistry
  • Wisconsin Rapids, WI
National Provider Identifier
1619674470
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KARLA R MCDONALD DDS LLC
Practice address
406 Daly Ave
Wisconsin Rapids, WI 54494-4744
Phone
(715) 421-1515
Fax
(715) 423-8552
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Dr. Karla Renee McDonald, DDSNPI 1124463443
Title
Dentist/Owner
Phone
(715) 570-0348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

406 Daly Ave
Wisconsin Rapids, WI 54494-4744

Mailing address

1121 Robin Cir
Wisconsin Rapids, WI 54494-3118
Phone (715) 712-0424

Other identifiers 1

IdentifierTypeStateIssuer
1124463443OtherNPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1619674470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 ROBIN CIR",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544943118",
            "telephone_number": "715-712-0424",
            "fax_number": "715-712-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 DALY AVE",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544944744",
            "telephone_number": "715-421-1515",
            "fax_number": "715-423-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARLA R MCDONALD DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "715-570-0348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124463443",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.