Active NPI
Jolanta Maria Macdonald, DMD
- Dentist
- Northborough, MA
National Provider Identifier
1891718110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20433
- Practice address
- 137 West Main Street
Northborough, MA 01532 - Phone
- (508) 393-9394
- Fax
- (508) 393-9364
- NPI assigned
- Jul 26, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 20433 | MA | Primary |
Addresses
Primary practice location
137 West Main Street
Northborough, MA 01532
Mailing address
137 West Main Street
Northborough, MA 01532
Phone (508) 393-9394
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 |
|---|---|---|---|
| 20433 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1891718110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 WEST MAIN STREET",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "01532",
"telephone_number": "508-393-9394",
"fax_number": "508-393-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 WEST MAIN STREET",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "01532",
"telephone_number": "508-393-9394",
"fax_number": "508-393-9364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "JOLANTA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "20433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.