Timothy E McCabe, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1986-82 Issued in MS

Practice address

512 Cowan Rd
Gulfport, MS 39507-2023

Phone

(228) 896-7404

Fax

(228) 896-6048

NPI assigned

Jul 26, 2007

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

Medicare fee-for-service enrollment

Enrolled in MS

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• McCabe Dental Clinic

  • Dentist
  • Gulport, MS
  • NPI 1811069164
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1063602043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 16TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071302",
            "telephone_number": "228-896-7404",
            "fax_number": "228-896-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 COWAN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072023",
            "telephone_number": "228-896-7404",
            "fax_number": "228-896-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "TIMOTHY",
        "middle_name": "E",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "1986-82",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique McArthur, OTD
• Trijah McBeath, PCMHT
• Maegen Calhoun McCabe, DMD
• Matthew Christopher McCabe, DDS
• Mike C McCabe, D.D.S.
• Denise Morgan McCaffrey, LCSW
• Linda McCauley
• Alanna McClain, PCCSS
• Stefan McClellan
• Haley McCool, MD

• General Practice Dentistry in Gulfport, MS
• Providers in Gulfport, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.