Matthew McRae Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

GA8133 Issued in GA

Practice address

995 Baxter St
Athens, GA 30606-3705

Phone

(706) 546-8480

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Matthew McRae, D.M.D.,PC.

  • Dentist
  • Athens, GA
  • NPI 1548315708
  NPD (past) Authorized official
• McRae Family Dental PC

  • Dental Clinic/Center
  • Athens, GA
  • NPI 1487812103
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1093885196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 ARCHER GROVE SCHOOL RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063705",
            "telephone_number": "706-546-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "GA8133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000050322A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lance D McLeroy, MD
• John Parker McMullan, M.D.
• Audrey McNew, BCBA
• Katashia McPherson, RN
• McRae Family Dental PC
• Angela S McSwain, MD
• Mary Kathryn McSwain
• Andrea Maclin Mealor, NP
• Daniel L Measel, MD
• Larry L Medders, MD

• All providers in Athens, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.