Active NPI
Gary L. McCord, D.M.D.
- Dentist
- Brooksville, KY
National Provider Identifier
1366525164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5151
- Practice address
- 224 Frankfort St
Brooksville, KY 41004-8306 - Phone
- (606) 735-3114
- Fax
- (606) 735-3114
- NPI assigned
- Oct 23, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5151 | KY | Primary |
Addresses
Primary practice location
224 Frankfort St
Brooksville, KY 41004-8306
Mailing address
P.O Box 267
Brooksville, KY 41004
Phone (606) 735-3114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60051513 | Medicaid | KY | |
| 610980267 | Other | KY | EMPLOYEE FEDERAL I.D |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Gary L. McCord | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Brooksville, KY
- NPI 1568633931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1366525164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 267",
"city": "BROOKSVILLE",
"state": "KY",
"postal_code": "41004",
"telephone_number": "606-735-3114",
"fax_number": "606-735-3114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 FRANKFORT ST",
"city": "BROOKSVILLE",
"state": "KY",
"postal_code": "410048306",
"telephone_number": "606-735-3114",
"fax_number": "606-735-3114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORD",
"first_name": "GARY",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "5151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60051513",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYEE FEDERAL I.D",
"identifier": "610980267",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooksville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.