Individual provider Active NPI

John Kevin McGrory, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lake Jackson, TX
National Provider Identifier
1366698904
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22836 Issued in TX
Practice address
135 Oyster Creek Dr
# U
Lake Jackson, TX 77566-4183
Phone
(979) 297-4059
Fax
(979) 297-6115
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22836 TX Primary

Addresses

Primary practice location

135 Oyster Creek Dr
# U
Lake Jackson, TX 77566-4183

Mailing address

135 Oyster Creek Dr
# U
Lake Jackson, TX 77566-4183
Phone (979) 297-4059

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

LicenseStateTypeSpecialty
22836TXMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1366698904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OYSTER CREEK DR",
            "address_2": "# U",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664183",
            "telephone_number": "979-297-4059",
            "fax_number": "979-297-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 OYSTER CREEK DR",
            "address_2": "# U",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664183",
            "telephone_number": "979-297-4059",
            "fax_number": "979-297-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRORY",
        "first_name": "JOHN",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.