Colin P McCartney, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

18908 Issued in TX

Practice address

4624 Lakeview Pkwy
Rowlett, TX 75088-4027

Phone

(972) 840-2020

NPI assigned

Jul 14, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Facial Surgery Group PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Kansas City, MO
  • NPI 1194745620
  NPD (past)
• Kansas City Cleft and Craniofacial Center PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Overland Park, KS
  • NPI 1073258414
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1386660389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6434 LAKESHORE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752143737",
            "telephone_number": "214-704-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 LAKEVIEW PKWY",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884027",
            "telephone_number": "972-840-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTNEY",
        "first_name": "COLIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "18908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KCMO",
            "identifier": "32729018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lukasz Matusiewicz
• Emily Kay Mayhew, LPC
• MBB Monitoring LLC
• MBB Neuromonitoring LLC
• Patrick McAlister, PHARM.D.
• Kelsey McCoy
• Timothy McCrainey
• Steven Patrick McCully
• Britt Shore McGannon, LPT
• Orsel Stanley McGhee III, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.