McRae Dental PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

000673526W Issued in ID

Legal business name

MCRAE DENTAL PA

Practice address

1067 S. Wells St.
Meridian, ID 83642-3561

Phone

(208) 895-8486

Fax

(208) 895-8540

NPI assigned

Jun 11, 2008

Organization subpart

Yes

Parent organization

MCRAE DENTALAs reported in NPPES

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

Authorized official

Name

Dr. Lon Chad McRae, DMD

Title

Dr

Phone

(208) 894-8486

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

McRae Dental PA

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16317/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508457600000",
    "number": "1184884348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 S WELLS ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427997",
            "telephone_number": "208-895-8486",
            "fax_number": "208-895-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 S. WELLS ST.",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423561",
            "telephone_number": "208-895-8486",
            "fax_number": "208-895-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCRAE DENTAL PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCRAE DENTAL",
        "enumeration_date": "2008-06-11",
        "last_updated": "2017-10-20",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "LON",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "208-894-8486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "000673526W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805008600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Don McMurray, PA-C
• Cassidy McMurray, DPT
• James McMurray, DPT
• John Driggs McMurray, DDS
• Jessica Rose McQueary, NP
• John McRae, DNP
• Lon Chad McRae, DMD
• Kevin Bernard McSweeney, O.D.
• Judson Robert Mead, PA
• Sandra D Meador, ATC, LAT

• Dental Clinic/Center in Meridian, ID
• Providers in Meridian, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2017; 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.