Active NPI
Dennis D McDonald
- Assisted Living Facility
- Saint Joseph, MO
National Provider Identifier
1972276368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 048381
- Practice address
- 436 N 17TH St
Saint Joseph, MO 64501-2015 - Phone
- (816) 233-7060
- NPI assigned
- Jul 30, 2021
- 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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 048381 | MO | Primary |
Addresses
Primary practice location
436 N 17TH St
Saint Joseph, MO 64501-2015
Mailing address
436 N 17TH St
Saint Joseph, MO 64501-2015
Phone (816) 233-7060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mcdonaldrcf@gmail.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 048381 | MO | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonald Boarding Home | Assisted Living Facility | Current | 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.
-
- Assisted Living Facility
- Saint Joseph, MO
- NPI 1215603402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627603200000",
"number": "1972276368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 N 17TH ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645012015",
"telephone_number": "816-233-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 N 17TH ST",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645012015",
"telephone_number": "816-233-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "DENNIS",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-30",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MO",
"license": "048381",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mcdonaldrcf@gmail.com",
"affiliation": "N",
"endpointDescription": "RCF email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "436 N 17th St",
"city": "Saint Joseph",
"state": "MO",
"country_code": "US",
"postal_code": "645012015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.