David Patrick McDonald, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7277 Issued in TN

Practice address

1720 Gunbarrel Rd
Suite 200
Chattanooga, TN 37421-3192

Phone

(423) 296-8905

Fax

(423) 296-8906

NPI assigned

Oct 21, 2005

Last updated

Dec 7, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Chattanooga Oral & Maxillofacial Surgery, PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Chattanooga, TN
  • NPI 1124295480
  NPD (past) Authorized official
• Palmetto Oral & Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Florence, SC
  • NPI 1598705931
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1689663692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 GUNBARREL RD",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213192",
            "telephone_number": "423-296-8905",
            "fax_number": "423-296-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 GUNBARREL RD",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213192",
            "telephone_number": "423-296-8905",
            "fax_number": "423-296-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "DAVID",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "7277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177773",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McDaniel Orthodontics, P.C.
• James W McDaniel, D.D.S., M.S.
• Jordan McDaniel, MS, ATC
• Meredith McDaniel, PA-C
• Tammy L McDaniel, L.P.N
• Preston Arnold McDonald, M.D.
• Richard Steven McDonald Jr., L.C.S.W.
• Sophia McDonald
• Brett David McDonough, OD
• Darcalynn Angelica McDonough

• Oral and Maxillofacial Surgery (Dentist) in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.