Organization Active NPI

James M. McCall, D.D.S., P.C.

  • General Practice Dentistry
  • Fulton, MO
National Provider Identifier
1407817588
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
011961 Issued in MO
Legal business name
JAMES M. MCCALL, D.D.S., P.C.
Practice address
603 Nichols St
Fulton, MO 65251-2650
Phone
(573) 642-6904
Fax
(573) 642-7256
NPI assigned
Mar 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda Rae McCall, L.C.S.W.
Title
Practice Manager
Phone
(573) 642-6904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 011961 MO Primary

Addresses

Primary practice location

603 Nichols St
Fulton, MO 65251-2650

Mailing address

603 Nichols St
Fulton, MO 65251-2650
Phone (573) 642-6904

National Provider Directory

National Provider Directory

Locations

603 Nichols St
Fulton, MO 65251
Phone (573) 642-6904

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407817588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NICHOLS ST",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512650",
            "telephone_number": "573-642-6904",
            "fax_number": "573-642-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NICHOLS ST",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512650",
            "telephone_number": "573-642-6904",
            "fax_number": "573-642-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. MCCALL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "573-642-6904",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "011961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.