Active NPI
William Paul McCrary, D.M.D.
- Endodontics
- Huntsville, AL
National Provider Identifier
1306087416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 4532
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161212001920 | AL | Order and Referring Only - Other (Physician) | 5496035305 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4532 | AL | MD | Reproductive 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.