Jeffrey Andrew McCroy Jr., RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

Practice address

9119 Mil Park Ave
Tacoma, WA 94433

Phone

(253) 966-9960

NPI assigned

Apr 21, 2023

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1326735010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 MIL PARK AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "94433",
            "telephone_number": "253-966-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 MIL PARK AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "94433",
            "telephone_number": "253-966-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROY",
        "first_name": "JEFFREY",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.a.mccroy.mil@health.mil",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Emails",
            "address_1": "9900 Lincoln Avenue 2nd Floor",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984310001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Derron Lamarr McCoy
• Maia Tenea McCoy, RN, CCM
• Martha Alice McCravey, MD
• Amber McCraw
• Sarah McCreight
• Catherine McCullar, LICSW
• Natalie Ava McCulloch, ARNP
• Ashley Maria McCullough, MSN, ARNP, RN
• Giovanna McCullough
• Willie James McCullum, DDS

• Dental Hygienist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.