Michael Joseph McDonnell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5500 Issued in KS

Practice address

923 W 6TH St
Junction City, KS 66441

Phone

(785) 762-3605

Fax

(785) 762-2145

NPI assigned

Mar 2, 2006

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

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1649247289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 W 6TH ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "66441",
            "telephone_number": "785-762-3605",
            "fax_number": "785-762-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 W 6TH ST",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "66441",
            "telephone_number": "785-762-3605",
            "fax_number": "785-762-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Aaron McCool, PHARMD
• Charlene McCormack
• Kelli McDermott
• Chelsea McDiffett
• Shabeba McDonald
• Larry Tate McGary, DDS
• Diana L McLane, CPHT
• Dawn Rene McLaughlin, LPN
• Daphna Nahomie McLean, FNP
• Sarah Anne McMillen, M.S.

• General Practice Dentistry in Junction City, KS
• Providers in Junction City, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.