MBD Merger LLC

Primary specialty

DentistTaxonomy code 122300000X

License

2006015824 Issued in MO

Legal business name

MBD MERGER LLC

Practice address

1736 Broadway
Cape Girardeau, MO 63701

Phone

(573) 334-5755

Fax

(573) 334-1501

NPI assigned

Jan 19, 2012

Last updated

Jan 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathan G. McGuire, DMD, MSNPI 1669596185

Title

Orthodontist/Member

Phone

(573) 334-5755

Specialties & licenses 1

Addresses

Other names 1

• Crowe & McGuire Orthodontics, LLC Former legal business name

Locations

Practitioners 1

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.

• Nathan McGuire, DMD MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cape Girardeau, MO
  • NPI 1669596185
  NPD (past) Authorized official

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1477824662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 BROADWAY",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-334-5755",
            "fax_number": "573-334-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 BROADWAY",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-334-5755",
            "fax_number": "573-334-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBD MERGER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ORTHODONTIST/MEMBER",
        "authorized_official_telephone_number": "573-334-5755",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2006015824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crowe & McGuire Orthodontics, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicole Danielle Maxfield
• Maxim Healthcare Services, Inc.
• Cathryn Lynn Maya, MARS, CPS
• Kameron Dale Mayberry
• Bruce Mayhew
• MC Medical Supply
• Sara Danielle McAllister, WHNP-BC
• Marianne E McBride, APRN
• Tahisha McBride
• Joseph McCadams, MD

• Dentist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.