NPIMap

Organization Active NPI

McCormick Family Dental Care SC

  • Dentist
  • Madison, WI
National Provider Identifier
1063420040
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3143 Issued in WI
Legal business name
MCCORMICK FAMILY DENTAL CARE SC
Practice address
5610 Medical Circle
Ste 10
Madison, WI 53719
Phone
(608) 233-5351
Fax
(608) 238-6777
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Dr. Stuart J McCormick, DDSNPI 1215185095
Title
Owner
Phone
(608) 233-5351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3143 WI Primary

Addresses

Primary practice location

5610 Medical Circle
Ste 10
Madison, WI 53719

Mailing address

5610 Medical Circle
Ste 10
Madison, WI 53719
Phone (608) 233-5351

National Provider Directory

National Provider Directory

Locations

5610 Medical Cir
Ste 10
Madison, WI 53719
Phone (608) 233-5351

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1063420040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 MEDICAL CIRCLE",
            "address_2": "STE 10",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-233-5351",
            "fax_number": "608-238-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 MEDICAL CIRCLE",
            "address_2": "STE 10",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53719",
            "telephone_number": "608-233-5351",
            "fax_number": "608-238-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMICK FAMILY DENTAL CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-233-5351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "3143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.