Active NPI
James M. McCall, D.D.S.
- General Practice Dentistry
- Fulton, MO
National Provider Identifier
1528063625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11961
- Practice address
- 603 Nichols St
Fulton, MO 65251-2650 - Phone
- (573) 642-6904
- Fax
- (573) 642-7256
- NPI assigned
- Jun 15, 2005
- Reactivated
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11961 | MO | Primary |
Addresses
Primary practice location
603 Nichols St
Fulton, MO 65251-2650
Mailing address
603 Nichols St
Fulton, MO 65251-2650
Phone (573) 642-6904
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11961 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James M. McCall, D.D.S., P.C. | General Practice | Past | Accepting new patients |
| Matt St George Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Fulton, MO
- NPI 1407817588
-
- General Practice Dentistry
- Fulton, MO
- NPI 1336689660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1528063625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 NICHOLS ST",
"city": "FULTON",
"state": "MO",
"postal_code": "652512650",
"telephone_number": "573-642-6904",
"fax_number": "573-642-7256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 NICHOLS ST",
"city": "FULTON",
"state": "MO",
"postal_code": "652512650",
"telephone_number": "573-642-6904",
"fax_number": "573-642-7256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALL",
"first_name": "JAMES",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-18",
"reactivation_date": "2006-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "11961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fulton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.