Individual provider Active NPI

David Stanley McCann, DDS

  • General Practice Dentistry
  • Ladera Ranch, CA
National Provider Identifier
1154635126
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
36099 Issued in CA
Practice address
27702 Crown Valley Pkwy
Ste A2
Ladera Ranch, CA 92694-0608
Phone
(949) 463-1511
NPI assigned
Aug 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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 36099 CA Primary

Addresses

Primary practice location

27702 Crown Valley Pkwy
Ste A2
Ladera Ranch, CA 92694-0608

Mailing address

27702 Crown Valley Pkwy
Ste A2
Ladera Ranch, CA 92694-0608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180730000441 AZ Order and Referring Only - DentistPractitioner - Dentist 5991052581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36099CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Chung Dental Corp General Practice Past Accepting new patients
David McCann DDS Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.mccann.p1@direct.tmwihc.nextgenshare.com
  • Direct secure messaging: david.mccann.p4@direct.vht.nextgenshare.com
  • Direct secure messaging: dmccann@direct.westerndental.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1154635126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27702 CROWN VALLEY PKWY",
            "address_2": "STE A2",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27702 CROWN VALLEY PKWY",
            "address_2": "STE A2",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940608",
            "telephone_number": "949-463-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "DAVID",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

Verify at the official NPI Registry.