John Patrick McCarthy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2018012854 Issued in MO

Practice address

14738 Manchester Rd
Ballwin, MO 63011

Phone

(636) 227-2552

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 Apr 23, 2019 through Apr 23, 2027

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Birk Dental LLC

  dba Webster Family Dental

  • Dental Clinic/Center
  • Webster Groves, MO
  • NPI 1679045629
  NPD (past)
• Edward M. Logan, DDS, LC

  • Dentist
  • O'Fallon, MO
  • NPI 1851448229
  NPD (past)
• Gregory N Newton DMD

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1447513916
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265952089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 NORTHMOOR DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052109",
            "telephone_number": "314-805-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14738 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "63011",
            "telephone_number": "636-227-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 N Stonewall Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731171214",
            "country_code": "US",
            "telephone_number": "405-271-5222",
            "fax_number": "405-271-7538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9016 Phoenix Pkwy",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633684278",
            "country_code": "US",
            "telephone_number": "636-561-5445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8005 Big Bend Blvd",
            "address_purpose": "LOCATION",
            "city": "Webster Groves",
            "state": "MO",
            "postal_code": "631192705",
            "country_code": "US",
            "telephone_number": "314-968-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6970",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2018012854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Mason
• Mary A Masssmann, COTA
• Elizabeth Suzanne Matoushek, LICSW
• Shannon Anne Mayse, C.O.T.A./L
• Alison L. McCarthy, M.P.T.
• Lindsey M McCarthy, FNP
• Martin Barry McClintock, MD
• Patricia McClurg, PTA
• Nancy C McCormac, PT
• Eva Marie McCormick, MS, RD

• General Practice Dentistry in Ballwin, MO
• Providers in Ballwin, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.