Individual provider Active NPI

John Richard McPherson, DDS

  • Dentist
  • Laramie, WY
National Provider Identifier
1265596084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WY 1100 Issued in WY
Practice address
204 McCollum St
Suite 203
Laramie, WY 82070-5103
Phone
(307) 742-2328
Fax
(307) 742-0543
NPI assigned
Dec 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X WY 1100 WY Primary

Addresses

Primary practice location

204 McCollum St
Suite 203
Laramie, WY 82070-5103

Mailing address

1408 Mitchell St
Laramie, WY 82072-2271
Phone (307) 745-8170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
WY 1100WYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John R McPherson DDS PC CurrentSince Nov 17, 2024 Accepting new patients

Locations

1255 N 15th St
Laramie, WY 82072
Phone (307) 742-2328

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265596084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 MITCHELL ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820722271",
            "telephone_number": "307-745-8170",
            "fax_number": "307-742-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MCCOLLUM ST",
            "address_2": "SUITE 203",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705103",
            "telephone_number": "307-742-2328",
            "fax_number": "307-742-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "JOHN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WY",
            "license": "WY 1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • 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.