Active NPI
John Richard McPherson, DDS
- Dentist
- Laramie, WY
National Provider Identifier
1265596084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- WY 1100
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| WY 1100 | WY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John R McPherson DDS PC | Current | 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.
-
- Dental Clinic/Center
- Laramie, WY
- NPI 1912721085
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.