NPIMap

Organization Active NPI

David McCoy DDS PC

  • Dentist
  • Cleveland, TN
National Provider Identifier
1083624613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS0000002113 Issued in TN
Legal business name
DAVID MCCOY DDS PC
Practice address
165 Mouse Creek Rd NW
Cleveland, TN 37312-3818
Phone
(423) 479-2854
Fax
(423) 479-5393
NPI assigned
Aug 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Adrian David McCoy, DDSNPI 1457358954
Title
Dentist/President
Phone
(423) 479-2854

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS0000002113 TN Primary

Addresses

Primary practice location

165 Mouse Creek Rd NW
Cleveland, TN 37312-3818

Mailing address

165 Mouse Creek Rd NW
Cleveland, TN 37312-3818
Phone (423) 479-2854

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083624613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MOUSE CREEK RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123818",
            "telephone_number": "423-479-2854",
            "fax_number": "423-479-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MOUSE CREEK RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123818",
            "telephone_number": "423-479-2854",
            "fax_number": "423-479-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MCCOY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "423-479-2854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000002113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.