NPIMap

Organization Active NPI

McDonald Family Dentistry LLC

  • General Practice Dentistry
  • Roanoke, VA
National Provider Identifier
1750825378
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MCDONALD FAMILY DENTISTRY LLC
Practice address
3310 Franklin Rd SW
Roanoke, VA 24014-1310
Phone
(540) 342-7221
Fax
(540) 400-8304
NPI assigned
Dec 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Dr. Benjamin McDonald, DDSNPI 1285015594
Title
Dentist/Practice Owner
Phone
(540) 342-7221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X VA Primary

Addresses

Primary practice location

3310 Franklin Rd SW
Roanoke, VA 24014-1310

Mailing address

3310 Franklin Rd SW
Roanoke, VA 24014-1310
Phone (540) 342-7221

National Provider Directory

National Provider Directory

Locations

3310 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 342-7221

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1750825378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141310",
            "telephone_number": "540-342-7221",
            "fax_number": "540-400-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141310",
            "telephone_number": "540-342-7221",
            "fax_number": "540-400-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONALD FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DENTIST/PRACTICE OWNER",
        "authorized_official_telephone_number": "540-342-7221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.