Individual provider Active NPI

Charles Preston McCary III, DDS

  • Dentist
  • Lenoir City, TN
National Provider Identifier
1427284363
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9479 Issued in TN
Practice address
603 Hwy 321 N.
Lenoir City, TN 37771
Phone
(303) 930-8828
NPI assigned
Jun 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 150581 CO
Dentist 122300000X 9479 TN Primary

Addresses

Primary practice location

603 Hwy 321 N.
Lenoir City, TN 37771

Mailing address

603 Hwy 321 N.
Lenoir City, TN 37771
Phone (865) 986-0842

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
9479TNMDClinical Social Worker
150581COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mabry, Akhrass & McCary, DDS, LLP Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1427284363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HWY 321 N.",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37771",
            "telephone_number": "865-986-0842",
            "fax_number": "865-986-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HWY 321 N.",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37771",
            "telephone_number": "303-930-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARY",
        "first_name": "CHARLES",
        "middle_name": "PRESTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "150581",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.