Active NPI
Thomas Garrett McDaniel, D.D.S.
- General Practice Dentistry
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9751
- Practice address
- 2029 Valleygate Dr
Fayetteville, NC 28304-3771 - Phone
- (910) 485-8884
- NPI assigned
- Jun 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9751 | NC | |
| General Practice Dentistry | 1223G0001X | 9751 | NC | Primary |
Addresses
Primary practice location
2029 Valleygate Dr
Fayetteville, NC 28304-3771
Mailing address
109 McAlpine LN
Laurinburg, NC 28352-4637
Phone (910) 276-6640
Other practice location 1
109 McAlpine Ln
Laurinburg, NC 28352-4637
Phone (910) 276-6640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9751 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan, James, Wiles, Patel & Olsen LLP | Dentist | Current | Accepting new patients |
| Ryan, James, Wiles, Patel & Olsen LLP | Dentist | Current | Accepting new patients |
| Lane & Associates X DDS PA | General Practice | Past | Accepting new patients |
Locations
2028 Litho Pl
Ste 300
Fayetteville, NC 28304
Phone (910) 485-7070
2015 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 223-7011
109 McAlpine Ln
Laurinburg, NC 28352
Phone (910) 276-6640
104 Southern Ave
Raeford, NC 28376
Phone (910) 875-4008
Organizations & group practices 3
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.
-
- Dentist
- Fayetteville, NC
- NPI 1346473279
-
- Dentist
- Laurinburg, NC
- NPI 1053795336
-
- General Practice Dentistry
- Sanford, NC
- NPI 1154475036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1679985196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 MCALPINE LN",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283524637",
"telephone_number": "910-276-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 VALLEYGATE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043771",
"telephone_number": "910-485-8884"
}
],
"practiceLocations": [
{
"address_1": "109 McAlpine Ln",
"address_purpose": "LOCATION",
"city": "Laurinburg",
"state": "NC",
"postal_code": "283524637",
"country_code": "US",
"telephone_number": "910-276-6640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDANIEL",
"first_name": "THOMAS",
"middle_name": "GARRETT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-02",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9751",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "9751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.