Individual provider Active NPI

Dennis Michael McCaffrey, DDS

  • General Practice Dentistry
  • Cedar Hill, MO
National Provider Identifier
1073568135
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12763 Issued in MO
Practice address
6730 Mall Drive
Cedar Hill, MO 63016
Phone
(636) 274-4272
Fax
(636) 274-4224
NPI assigned
May 24, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12763 MO Primary

Addresses

Primary practice location

6730 Mall Drive
Cedar Hill, MO 63016

Mailing address

PO Box 360
Cedar Hill, MO 63016
Phone (636) 274-4272

Other identifiers 2

IdentifierTypeStateIssuer
103430OtherBLUE CROSS
794816OtherUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20160324000489 MO Order and Referring Only - DentistPractitioner - Dentist 0547567273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12763MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1073568135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "63016",
            "telephone_number": "636-274-4272",
            "fax_number": "636-274-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 MALL DRIVE",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "63016",
            "telephone_number": "636-274-4272",
            "fax_number": "636-274-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFREY",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "12763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "103430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "794816",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, MO

Sources for this page

Verify at the official NPI Registry.