Michael P. McCormick Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

VA8746 Issued in VA

Practice address

901 Enterprise Pkwy
Suite 500
Hampton, VA 23666-6249

Phone

(757) 896-4900

Fax

(757) 896-4905

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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

  • Dentist
  • Hampton, VA
  • NPI 1003900234
  NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1013099894",
    "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",
            "address_2": "SUITE 500",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666249",
            "telephone_number": "757-896-4900",
            "fax_number": "757-896-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "VA8746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "986085",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "285011",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Marnita McCann, BSN, RN, CCM
• Jean W McCauley, PT
• Valerie Jean McCloskey, REGISTERED DIETITIAN
• Jennifer A McCord, M.D.
• Brian C McCormick, M.D.
• Michael William McCormick, MD
• Michael A McCullen, MD
• Amber McCusker, MD
• Catherine Jean McDonald, FNP
• Katherine Beverly McDonald, LCSW

• General Practice Dentistry in Hampton, VA
• Providers in Hampton, VA by specialty
• General Practice Dentistry in Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.