Individual provider Active NPI

Janet Jill McDonald, DDS

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1841407954
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7051 Issued in TN
Practice address
4113 Union Rd
Saint Louis, MO 63129-1064
Phone
(203) 530-3136
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2023001624 MO
General Practice Dentistry 1223G0001X 7051 TN Primary

Addresses

Primary practice location

4113 Union Rd
Saint Louis, MO 63129-1064

Mailing address

60 Fairgrounds Rd # a
Paris, TN 38242-5648
Phone (731) 642-2314

Other practice location 1

60 Fairgrounds Rd # A
Paris, TN 38242-5648
Phone (731) 642-2314

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

LicenseStateTypeSpecialty
2023001624MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Dental Professionals, PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1841407954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FAIRGROUNDS RD # A",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425648",
            "telephone_number": "731-642-2314",
            "fax_number": "731-642-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 UNION RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291064",
            "telephone_number": "203-530-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Fairgrounds Rd # A",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TN",
            "postal_code": "382425648",
            "country_code": "US",
            "telephone_number": "731-642-2314",
            "fax_number": "731-642-2317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JANET",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2023001624",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.