Active NPI
Krista Thompson McDaniel, D.D.S.
- Dentist
- Spring Lake, NC
National Provider Identifier
1982918652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9149
- Practice address
- 620 Lillington Hwy Ste a
Spring Lake, NC 28390-2270 - Phone
- (910) 212-3370
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 9149 | NC | Primary |
Addresses
Primary practice location
620 Lillington Hwy Ste a
Spring Lake, NC 28390-2270
Mailing address
3229 Kentland LN
Fuquay Varina, NC 27526-8651
Phone (910) 212-3370
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 |
|---|---|---|---|
| 9149 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1982918652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3229 KENTLAND LN",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275268651",
"telephone_number": "910-212-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 LILLINGTON HWY STE A",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283902270",
"telephone_number": "910-212-3370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "KRISTA",
"middle_name": "THOMPSON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-04",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "9149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.