Mark J McCoy, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

SC 3610 Issued in SC

Practice address

201 Ronnie CT
Myrtle Beach, SC 29579-4136

Phone

(843) 236-2273

Fax

(843) 236-7303

NPI assigned

Dec 6, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316006547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 PRINCE ST",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403627",
            "telephone_number": "843-224-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RONNIE CT",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794136",
            "telephone_number": "843-236-2273",
            "fax_number": "843-236-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "SC 3610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian William John McClure, C.O.T.A.
• Franklin McCollum, LPC-A, AADC-IP
• Matthew Joel McCoskey, MD
• Yolandie McCoskey, M.D.
• Christopher Cameron McCoy, MD
• Russell B McCracken, DMD
• Tamra McDermott
• Ann C McDonald, LPC, NCC
• Frank Harold McDougall
• Elizabeth Anne McElroy

• Dentist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Dentist in South Carolina

• 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.

Verify at the official NPI Registry.