Logan Shayne McCord, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14249 Issued in NC

Practice address

2040 Club Pond Rd
Raeford, NC 28376-4000

Phone

(850) 544-1993

NPI assigned

Feb 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1467216960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 LOCHWOOD DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766692",
            "telephone_number": "850-544-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 CLUB POND RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283764000",
            "telephone_number": "850-544-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "LOGAN",
        "middle_name": "SHAYNE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "14249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashunda Maynor
• Rosa McAllister-McRae
• McCain Correctional Hospital
• Raquel Alexis McCann, PA-C
• Amanda McCollum
• Sherry Ann Glover McCoy, LCMHCA
• Shakara McDonald
• McEachin Treatment Facility
• Taryn McGirt
• Chad C McGraw, PA-C

• General Practice Dentistry in Raeford, NC
• Providers in Raeford, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.