Deborah Lynn McClintock, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2973 Issued in WV

Practice address

911 Maryland Ave
Martinsburg, WV 25401-1727

Phone

(304) 267-0809

Fax

(304) 267-0888

NPI assigned

Oct 13, 2006

Sex

Female

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

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.

Opted out of Medicare

Yes, effective Feb 25, 2016 through Feb 25, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215027164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 MARYLAND AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011727",
            "telephone_number": "304-267-0809",
            "fax_number": "304-267-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 MARYLAND AVE",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254011727",
            "telephone_number": "304-267-0809",
            "fax_number": "304-267-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINTOCK",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132906000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwinnella C McBride, MSW
• Morgan Alexandra McCardell
• Ryan Timothy McCarthy, M.D.
• Michael D McCarty, PH.D.
• Michael McCauley
• Kelly Ann McCloud
• Holly S McCloy, MA, NCC
• Susan Ives McCollum, MS, NCC
• Jeremy McCourt, PHARM.D.
• Jeannette Marie McCoy, LPN

• General Practice Dentistry in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• General Practice Dentistry in West Virginia

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.