Individual provider Active NPI

William Paul McCrary, D.M.D.

  • Endodontics
  • Huntsville, AL
National Provider Identifier
1306087416
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
4532 Issued in AL
Practice address
2410 L and N Dr SW
Suite B
Huntsville, AL 35801-5326
Phone
(256) 536-1116
Fax
(256) 539-5559
NPI assigned
Mar 19, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 4532 AL Primary

Addresses

Primary practice location

2410 L and N Dr SW
Suite B
Huntsville, AL 35801-5326

Mailing address

2410 L and N Dr SW
Suite B
Huntsville, AL 35801-5326
Phone (256) 536-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20161212001920 AL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5496035305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4532ALMDReproductive Endocrinology Physician

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1306087416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 L AND N DR SW",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015326",
            "telephone_number": "256-536-1116",
            "fax_number": "256-539-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 L AND N DR SW",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015326",
            "telephone_number": "256-536-1116",
            "fax_number": "256-539-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "4532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.