Active NPI
Laura Colleen McDonald, D.D.S.
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1831649862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 32207
- Practice address
- 1315 W Jefferson Blvd
Dallas, TX 75208-5324 - Phone
- (214) 941-4200
- NPI assigned
- Oct 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 32207 | TX | Primary |
Addresses
Primary practice location
1315 W Jefferson Blvd
Dallas, TX 75208-5324
Mailing address
3700 McKinney Ave Apt 359
Dallas, TX 75204-1693
Phone (956) 279-5360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32207 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1831649862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 MCKINNEY AVE APT 359",
"city": "DALLAS",
"state": "TX",
"postal_code": "752041693",
"telephone_number": "956-279-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 W JEFFERSON BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752085324",
"telephone_number": "214-941-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "LAURA",
"middle_name": "COLLEEN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "32207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.