Michael T McCrady, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7262 Issued in IN

Practice address

936 W Walnut St
Albany, IN 47320-1530

Phone

(765) 789-4454

Fax

(765) 789-4499

NPI assigned

Dec 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194884072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "ALBANY",
            "state": "IN",
            "postal_code": "473200009",
            "telephone_number": "765-789-4454",
            "fax_number": "765-789-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 W WALNUT ST",
            "city": "ALBANY",
            "state": "IN",
            "postal_code": "473201530",
            "telephone_number": "765-789-4454",
            "fax_number": "765-789-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRADY",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "7262",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana University Health Ball Memorial Physicians, Inc. (IU Health Ball Memorial Physicians)
• John W Carter MD LLC
• Michael Jones, RBT
• Shaquia Marcoux, RBT
• Matthew T McCrady, DDS
• Audrea Ann Miller, PTA
• Jodi Lynn Morgan, LPTA
• Riverview Hospital (Albany Health & Rehabilitation Center)
• Terrence Roberts, DDS
• Joann Catherine Roessner, PTA

• General Practice Dentistry in Albany, IN
• Providers in Albany, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.