Active NPI
David Glenn McDonald
- Oral and Maxillofacial Surgery (Dentist)
- Key West, FL
National Provider Identifier
1902909526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN10343
- Practice address
- 2758 N. Roosevelt Blvd
Key West, FL 33040 - Phone
- (813) 997-2580
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN10343 | FL | Primary |
Addresses
Primary practice location
2758 N. Roosevelt Blvd
Key West, FL 33040
Mailing address
22 Floral Ave
Key West, FL 33040
Phone (813) 997-2580
Other practice location 1
5010 Gunn Hwy
Tampa, FL 33624
Phone (813) 997-2580
Other names 1
- Dr. David McDonald
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmddmd1@netzero.com | Direct |
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 |
|---|---|---|---|
| DN10343 | FL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 10343 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1902909526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 FLORAL AVE",
"city": "KEY WEST",
"state": "FL",
"postal_code": "33040",
"telephone_number": "813-997-2580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2758 N. ROOSEVELT BLVD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "33040",
"telephone_number": "813-997-2580"
}
],
"practiceLocations": [
{
"address_1": "5010 Gunn Hwy",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "33624",
"country_code": "US",
"telephone_number": "813-997-2580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "DAVID",
"middle_name": "GLENN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN10343",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmddmd1@netzero.com",
"affiliation": "N",
"endpointDescription": "office email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "healthcare info",
"address_1": "5010 Gunn Hwy",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "33624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DAVID",
"last_name": "MCDONALD",
"prefix": "DR.",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.