NPIMap

Organization Active NPI

Tom McCue IV DDS PC

Doing business as Mccue Dental

  • Dentist
  • Brewerton, NY
National Provider Identifier
1467833210
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TOM MCCUE IV DDS PC
Doing business as
Mccue Dental
Practice address
9651 Brewerton Rd
Brewerton, NY 13029-9704
Phone
(315) 676-7900
Fax
(315) 785-1080
NPI assigned
Jun 17, 2015
Last updated
Jun 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Dr. Thomas Patrick McCue IV, DDS
Title
Dentist
Phone
(315) 779-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

9651 Brewerton Rd
Brewerton, NY 13029-9704

Mailing address

PO Box 189
9651 Brewerton Rd
Brewerton, NY 13029-9704
Phone (315) 676-7900

Other names 1

  • Mccue Dental Doing business as

National Provider Directory

National Provider Directory

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": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1467833210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "address_2": "9651 BREWERTON RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130299704",
            "telephone_number": "315-676-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9651 BREWERTON RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130299704",
            "telephone_number": "315-676-7900",
            "fax_number": "315-785-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM MCCUE IV DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "MCCUE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "315-779-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mccue Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brewerton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.