Robert Daniel McNamara, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9102 Issued in MN

Practice address

880 Sibley Memorial Hwy
Suite 111
Mendota Heights, MN 55118-1736

Phone

(651) 455-4223

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

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

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740381136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 SIBLEY MEMORIAL HWY",
            "address_2": "SUITE 111",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551181736",
            "telephone_number": "651-455-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SIBLEY MEMORIAL HWY",
            "address_2": "SUITE 111",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551181736",
            "telephone_number": "651-455-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "ROBERT",
        "middle_name": "DANIEL",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "9102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna McKenzie
• Jane McMahon
• Lindsay McMillan
• Alec McMurray
• Chelsea McNair, HIS
• Olivia Lauren Meier
• Emily Anne Meiners
• Brock Melander
• Dominique Eva Menard, OTD
• Mendakota Chiropractic, PLLC

• General Practice Dentistry in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.