Active NPI
David W McCray, M.D.
- Surgery Physician
- Farmington, NM
National Provider Identifier
1073649836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD 2004-0130
- Practice address
- 622 W Maple St
Suite C
Farmington, NM 87401-6590 - Phone
- (505) 327-9694
- Fax
- (505) 327-7524
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD 2004-0130 | NM | Primary |
Addresses
Primary practice location
622 W Maple St
Suite C
Farmington, NM 87401-6590
Mailing address
622 W Maple St
Suite C
Farmington, NM 87401-6590
Phone (505) 327-9694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W6753 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 2004-0130 | NM | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1073649836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W MAPLE ST",
"address_2": "SUITE C",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016590",
"telephone_number": "505-327-9694",
"fax_number": "505-327-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W MAPLE ST",
"address_2": "SUITE C",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874016590",
"telephone_number": "505-327-9694",
"fax_number": "505-327-7524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRAY",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "MD 2004-0130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "W6753",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.