NPIMap

Organization Active NPI

Dr Pamela R McCullough DDS PA

  • General Practice Dentistry
  • Newton, KS
National Provider Identifier
1245230374
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6191 Issued in KS
Legal business name
DR PAMELA R MCCULLOUGH DDS PA
Practice address
229 N Main St
Newton, KS 67114-3442
Phone
(316) 283-0870
Fax
(316) 282-2500
NPI assigned
Jul 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Authorized official

Name
Dr. Pamela Rae McCullough, DDSNPI 1801220538
Title
President
Phone
(316) 283-0870

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6191 KS Primary

Addresses

Primary practice location

229 N Main St
Newton, KS 67114-3442

Mailing address

229 N Main St
Newton, KS 67114-3442
Phone (316) 283-0870

National Provider Directory

National Provider Directory

Locations

229 N Main St
Newton, KS 67114
Phone (316) 283-0870

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1245230374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143442",
            "telephone_number": "316-283-0870",
            "fax_number": "316-282-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143442",
            "telephone_number": "316-283-0870",
            "fax_number": "316-282-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAMELA R MCCULLOUGH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-283-0870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.