Robert Grant McCracken Sr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS030969L Issued in PA

Practice address

100 Stoops Dr
Suite 260
Monongahela, PA 15063-3553

Phone

(724) 483-5000

Fax

(724) 483-5001

NPI assigned

Oct 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417039140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR",
            "address_2": "SUITE 260",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633553",
            "telephone_number": "724-483-5000",
            "fax_number": "724-483-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR",
            "address_2": "SUITE 260",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633553",
            "telephone_number": "724-483-5000",
            "fax_number": "724-483-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "ROBERT",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS030969L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01752378",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ajay K Mathur, M.D.
• Jennifer Lynne Mauger
• Nancy McAuley, S.L.
• William Scott McCall, PT
• George Joseph McComb, PHARMD
• Abigail McDuffey, SLP
• Medical and Endocrine Associates
• Hany S Mesiha, MD
• Christy Michaels
• Christie A Mielnicki, P.T.

• General Practice Dentistry in Monongahela, PA
• Providers in Monongahela, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.