Active NPI
James Lee McDonald, DDS
- General Practice Dentistry
- Lakeland, MN
National Provider Identifier
1851408991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9507
- Practice address
- 44 Saint Croix TRL S
Lakeland, MN 55043-8404 - Phone
- (701) 261-8986
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1715 | ND | |
| General Practice Dentistry | 1223G0001X | 6001907-15 | WI | |
| General Practice Dentistry | 1223G0001X | 9507 | MN | Primary |
Addresses
Primary practice location
44 Saint Croix TRL S
Lakeland, MN 55043-8404
Mailing address
PO Box 9279
Fargo, ND 58106-9279
Phone (701) 261-8986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41376 | Medicaid | ND |
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 |
|---|---|---|---|
| 9507 | MN | MD | General Practice Dentistry |
| 1715 | ND | MD | General Practice Dentistry |
| 6001907-15 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonald & Gruchalla, D.D.S., P.C. | 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.
-
- General Practice Dentistry
- Fargo, ND
- NPI 1053453688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1851408991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9279",
"city": "FARGO",
"state": "ND",
"postal_code": "581069279",
"telephone_number": "701-261-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 SAINT CROIX TRL S",
"city": "LAKELAND",
"state": "MN",
"postal_code": "550438404",
"telephone_number": "701-261-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JAMES",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ND",
"license": "1715",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6001907-15",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MN",
"license": "9507",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41376",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.