NPIMap

Organization Active NPI

McLemore & McLemore DDS Cosmetic and Family Dentistry

  • General Practice Dentistry
  • Jackson, TN
National Provider Identifier
1083886451
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4243 Issued in TN
Legal business name
MCLEMORE & MCLEMORE DDS COSMETIC AND FAMILY DENTISTRY
Practice address
211 Oil Well Rd
Jackson, TN 38305-7924
Phone
(731) 424-2651
Fax
(731) 424-2653
NPI assigned
Mar 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Dr. James Peter McLemore III, DDSNPI 1174508204
Title
Dentist/Owner
Phone
(731) 424-2651

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4243 TN Primary

Addresses

Primary practice location

211 Oil Well Rd
Jackson, TN 38305-7924

Mailing address

211 Oil Well Rd
Jackson, TN 38305
Phone (731) 424-2651

Other identifiers 6

IdentifierTypeStateIssuer
00839357OtherTNUNITED CONCORDIA
03153366OtherTNBCBS TN
01414019OtherTNUNITED CONCORDIA
0061546OtherTNBCBS OF TN
181433 LOCATION IDMedicaidTN
0061546OtherTNBCBS

National Provider Directory

National Provider Directory

Locations

211 Oil Well Rd
Jackson, TN 38305
Phone (731) 424-2651

Practitioners & affiliated clinicians

Practitioners 2

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": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1083886451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 OIL WELL RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-424-2651",
            "fax_number": "731-424-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 OIL WELL RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057924",
            "telephone_number": "731-424-2651",
            "fax_number": "731-424-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEMORE & MCLEMORE DDS COSMETIC AND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "MCLEMORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "731-424-2651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "00839357",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "03153366",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "01414019",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "0061546",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181433 LOCATION ID",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0061546",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.