Active NPI
Jon Wesley McClure, D.D.S.
- Pediatric Dentistry
- Frisco, TX
National Provider Identifier
1326205758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 23879
- Practice address
- 14660 SH 121
Building 300
Frisco, TX 75035 - Phone
- (972) 549-4036
- Fax
- (972) 905-6981
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 23879 | TX | Primary |
Addresses
Primary practice location
14660 SH 121
Building 300
Frisco, TX 75035
Mailing address
14660 SH 121
Building 300
Frisco, TX 75035
Phone (972) 549-4036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23879 | TX | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1326205758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14660 SH 121",
"address_2": "BUILDING 300",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "972-549-4036",
"fax_number": "972-905-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14660 SH 121",
"address_2": "BUILDING 300",
"city": "FRISCO",
"state": "TX",
"postal_code": "75035",
"telephone_number": "972-549-4036",
"fax_number": "972-905-6981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "JON",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-22",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "23879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.