Active NPI
Matt McDonald DDS Inc
- Dental Clinic/Center
- Del Mar, CA
National Provider Identifier
1720651367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MATT MCDONALD DDS INC
- Practice address
- 13983 Mango Dr
Del Mar, CA 92014-3131 - Phone
- (858) 879-6900
- NPI assigned
- Jul 21, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matt McDonald, DDS
- Title
- President
- Phone
- (425) 417-4509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
13983 Mango Dr
Del Mar, CA 92014-3131
Mailing address
13983 Mango Dr
Del Mar, CA 92014-3131
Phone (425) 417-4509
National Provider Directory
National Provider DirectoryLocations
13983 Mango Dr
Del Mar, CA 92014
Phone (858) 755-0187
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Del Mar, CA
- NPI 1942632302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626825600000",
"number": "1720651367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13983 MANGO DR",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920143131",
"telephone_number": "425-417-4509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13983 MANGO DR",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920143131",
"telephone_number": "858-879-6900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATT MCDONALD DDS INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-417-4509",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.