Rodney Dee McDonald, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8111 Issued in IN

Practice address

1516 Lafayette Ave
Terre Haute, IN 47804-1336

Phone

(812) 466-3555

Fax

(812) 466-4754

NPI assigned

Aug 11, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425427200000",
    "number": "1669483681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 LAFAYETTE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041336",
            "telephone_number": "812-466-3555",
            "fax_number": "812-466-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 LAFAYETTE AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478041336",
            "telephone_number": "812-466-3555",
            "fax_number": "812-466-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "RODNEY",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "8111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251210",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle McClure
• Emily McComb
• Michael Shawn McCoy, OD
• Sierra McDaniel
• Andrew Tad McDonald, M.D.
• Steven A McDonald, MD
• Eric McGee
• Jassie McGovern, DPM
• Elliott Emile McGregory, CRNA
• Phrance McGruder, RBT

• General Practice Dentistry in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.