Andrew Lee McCanless Sr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9647 Issued in GA

Practice address

5635 Peachtree Pkwy
Suite 240
Norcross, GA 30092-2812

Phone

(770) 448-1977

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Link Dental Care, LLC

  • General Practice Dentistry
  • Norcross, GA
  • NPI 1821430679
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1225124647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE 113",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978170",
            "telephone_number": "770-476-2252",
            "fax_number": "770-476-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 PEACHTREE PKWY",
            "address_2": "SUITE 240",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922812",
            "telephone_number": "770-448-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANLESS",
        "first_name": "ANDREW",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mbi Health Services, LLC
• Cristina Anne McAdam
• Shannon Ann McBride, D.C.
• Thanh Tam Trong McBride
• Juwan Martez McCall, DC
• Angel McCleave
• Jennifer McCullough, M.S.,CCC-SLP
• Lisa Beth McDaniel, LPC
• Laterica Leshun McDonald
• Lorraine Elizabeth McDowell

• General Practice Dentistry in Norcross, GA
• Providers in Norcross, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.