Individual provider Active NPI

Audrey Nicole McCray, RDH,MBA

  • Dental Hygienist
  • Mechanicsville, MD
National Provider Identifier
1326892373
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
6877 Issued in MD
Practice address
28160 Old Village Rd
Mechanicsville, MD 20659-4289
Phone
(301) 884-3248
Fax
(866) 219-6469
NPI assigned
Apr 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 6877 MD Primary

Addresses

Primary practice location

28160 Old Village Rd
Mechanicsville, MD 20659-4289

Mailing address

28160 Old Village Rd
Mechanicsville, MD 20659-4289
Phone (301) 884-3248

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
6877MDMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1326892373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28160 OLD VILLAGE RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594289",
            "telephone_number": "301-884-3248",
            "fax_number": "866-219-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28160 OLD VILLAGE RD",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594289",
            "telephone_number": "301-884-3248",
            "fax_number": "866-219-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "AUDREY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "RDH,MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "6877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.