Organization Active NPI

Michael P. McCormick Jr., D.D.S., P.C.

  • Dentist
  • Hampton, VA
National Provider Identifier
1003900234
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MICHAEL P. MCCORMICK JR., D.D.S., P.C.
Practice address
901 Enterprise Pkwy Ste 500
Suite 500
Hampton, VA 23666-6253
Phone
(757) 896-4900
Fax
(757) 896-4905
NPI assigned
Oct 3, 2006
Last updated
Dec 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Michelle G. Bunch
Title
Office Manager
Phone
(757) 896-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

901 Enterprise Pkwy Ste 500
Suite 500
Hampton, VA 23666-6253

Mailing address

901 Enterprise Pkwy Ste 500
Suite 500
Hampton, VA 23666-6253
Phone (757) 896-4900

Other names 1

  • Caring for Kids and Parents Other name

National Provider Directory

National Provider Directory

Locations

901 Enterprise Pkwy
Ste 500
Hampton, VA 23666
Phone (757) 896-4900

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1003900234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY STE 500",
            "address_2": "SUITE 500",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666253",
            "telephone_number": "757-896-4900",
            "fax_number": "757-896-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ENTERPRISE PKWY STE 500",
            "address_2": "SUITE 500",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666253",
            "telephone_number": "757-896-4900",
            "fax_number": "757-896-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P. MCCORMICK JR., D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "BUNCH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-896-5050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring for Kids and Parents",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.