Matthew McDonough, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30024015 Issued in OH

Practice address

1501 Hilliard Rome Rd
Suite E
Columbus, OH 43228-9544

Phone

(614) 398-3798

NPI assigned

Apr 23, 2009

Last updated

Jul 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1720222607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HILLIARD ROME RD",
            "address_2": "SUITE E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HILLIARD ROME RD",
            "address_2": "SUITE E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289544",
            "telephone_number": "614-398-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "FM1768362",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30024015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria L McDonald, LISW-S
• Zaqchiya McDonald
• Samantha Elizabeth McDonnell, PHYSICIAN ASSISTANT
• Shannon McDonnell
• Hunter Joseph McDonough, CRNA
• Jaiden McDougal
• Denzel McDougald
• Leon McDougle, MD
• Ann V McDowell, RD, LD
• Debra M McDowell, CDCA

• Oral and Maxillofacial Surgery (Dentist) in Columbus, OH
• Providers in Columbus, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.