Dennis Keith Macnab, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6286 Issued in OR

Practice address

1629 E 12TH Street
The Dalles, OR 97058-3212

Phone

(541) 296-2581

Fax

(541) 296-8655

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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 OR

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811082233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 E 12TH STREET",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583212",
            "telephone_number": "541-296-2581",
            "fax_number": "541-296-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 E 12TH STREET",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583212",
            "telephone_number": "541-296-2581",
            "fax_number": "541-296-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNAB",
        "first_name": "DENNIS",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim Lundgren
• Debra Lynn Lutje, LMT, CMT
• Brian Christian Macarthur, M.D.
• Katrina Mace
• David A Mack, D.O.
• David S Macnally, PA C
• Graci Maddox
• Kathleen Marie Madore, LCSW
• Delia Magana
• Michael Maier

• General Practice Dentistry in The Dalles, OR
• Providers in The Dalles, OR by specialty
• General Practice Dentistry in Oregon

• 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.