Emily McCormick, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11109 Issued in KY

Practice address

940 Parkway Dr
Salyersville, KY 41465-9251

Phone

(606) 349-5126

Fax

(606) 349-5123

NPI assigned

May 31, 2024

Last updated

Jun 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

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.

• Big Sandy Health Care Inc

  dba Hope Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Salyersville, KY
  • NPI 1326080110
  NPD (past)
• Big Sandy Health Care Inc

  dba Shelby Valley Clinic

  • Federally Qualified Health Center (FQHC)
  • Pikeville, KY
  • NPI 1700828597
  NPD (past)

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1306686753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 KY ROUTE 321 STE 3",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539097",
            "telephone_number": "606-886-8546",
            "fax_number": "606-886-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 PARKWAY DR",
            "city": "SALYERSVILLE",
            "state": "KY",
            "postal_code": "414659251",
            "telephone_number": "606-349-5126",
            "fax_number": "606-349-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7629 Ky Route 979",
            "address_purpose": "LOCATION",
            "city": "Grethel",
            "state": "KY",
            "postal_code": "416316304",
            "country_code": "US",
            "telephone_number": "606-487-2200",
            "fax_number": "866-310-9947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "178 Douglas Pkwy",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415016970",
            "country_code": "US",
            "telephone_number": "606-639-3135",
            "fax_number": "606-639-3136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6500 Highway 645",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Inez",
            "state": "KY",
            "postal_code": "41224",
            "country_code": "US",
            "telephone_number": "606-298-3412",
            "fax_number": "606-298-3416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "EMILY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "11109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Middle Fork Elementary School
• Millard Hensley Elementary School
• Alexis Bradford Mills, LCSW

• Dentist in Salyersville, KY
• Providers in Salyersville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.

Verify at the official NPI Registry.