Douglas Wayne McPherson, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-2285 Issued in SC

Practice address

BLDG. 4323, Hill Street
Ft. Jackson, SC 29207

Phone

(803) 751-1685

Fax

(803) 751-4427

NPI assigned

Jul 21, 2006

Last updated

Jun 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1376564864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG. 4323, HILL STREET",
            "city": "FT. JACKSON",
            "state": "SC",
            "postal_code": "29207",
            "telephone_number": "803-751-1685",
            "fax_number": "803-751-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG. 4323, HILL STREET",
            "city": "FT. JACKSON",
            "state": "SC",
            "postal_code": "29207",
            "telephone_number": "803-751-1685",
            "fax_number": "803-751-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "DOUGLAS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "30-2285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Thomas Kelly, DMD
• Esther Kim, OD
• Andrew Christian Marshall, DMD
• Clem Donald McDuffie, OD
• Herbert McKinney, DMD
• Jennifer Nicole Meadows, O.D.
• Moncrief Army Community Hospital (Usadc Hagen-Jackson)
• Moncrief Army Community Hospital (Usadc Phy Exam Sta-Jackson)
• National Vision, Inc.
• Renee Lucille Nelson, RN

• General Practice Dentistry in Fort Jackson, SC
• Providers in Fort Jackson, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.