Organization Active NPI

Dennis J. McCoy, D.D.S., P.C.

  • Dentist
  • Saint Clair, MO
National Provider Identifier
1205098217
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
012720 Issued in MO
Legal business name
DENNIS J. MCCOY, D.D.S., P.C.
Practice address
1085 Carl St
Saint Clair, MO 63077-1601
Phone
(636) 629-1952
NPI assigned
Jun 30, 2008
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Dr. Dennis J. MC Coy, DDSNPI 1417082504
Title
President
Phone
(636) 629-1952

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
Dentist 122300000X 012720 MO Primary

Addresses

Primary practice location

1085 Carl St
Saint Clair, MO 63077-1601

Mailing address

1085 Carl St
Saint Clair, MO 63077-1601
Phone (636) 629-1952

National Provider Directory

National Provider Directory

Locations

1085 Carl St
Saint Clair, MO 63077
Phone (636) 629-1952

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1205098217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 CARL ST",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771601",
            "telephone_number": "636-629-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 CARL ST",
            "city": "SAINT CLAIR",
            "state": "MO",
            "postal_code": "630771601",
            "telephone_number": "636-629-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS J. MCCOY, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MC COY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-629-1952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "012720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.