Active NPI
John Donald McLeroy, DDS
- General Practice Dentistry
- Bryan, TX
National Provider Identifier
1053492033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11664
- Practice address
- 4343 Carter Creek Pkwy
Suite 105
Bryan, TX 77802-4491 - Phone
- (979) 846-2098
- NPI assigned
- Oct 18, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11664 | TX | Primary |
Addresses
Primary practice location
4343 Carter Creek Pkwy
Suite 105
Bryan, TX 77802-4491
Mailing address
4343 Carter Creek Parkway
Suite 105
Bryan, TX 77802-4455
Phone (979) 846-2098
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 |
|---|---|---|---|
| 11664 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053492033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 CARTER CREEK PARKWAY",
"address_2": "SUITE 105",
"city": "BRYAN",
"state": "TX",
"postal_code": "778024455",
"telephone_number": "979-846-2098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 CARTER CREEK PKWY",
"address_2": "SUITE 105",
"city": "BRYAN",
"state": "TX",
"postal_code": "778024491",
"telephone_number": "979-846-2098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEROY",
"first_name": "JOHN",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
- Jason McKnight, M.D.
- Megan McLain Thomas, LMT
- Darlene Warrick McLaughlin, MD
- Carlee McLean
- Loren McLelland
- Ashton McMillen, LMFT, LPC-A
- Meadowbrook Counseling of Texas, LLC (Meadowbrook Counseling of TX)
- Med Southwest, PLLC (MyEyeDr.)
- Medi-Care Equipment Specialties Inc.
- Medical Express Urgent Care, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.