NPIMap

Organization Active NPI

W Charles McLuckie DDS Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lavale, MD
National Provider Identifier
1548242597
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13543 Issued in MD
Legal business name
W CHARLES MCLUCKIE DDS MS PC
Practice address
428 National Hwy
Lavale, MD 21502-7129
Phone
(301) 722-5850
Fax
(301) 722-4960
NPI assigned
Nov 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
James Robert Snodgrass, DDSNPI 1073594586
Title
Orthodontist President
Phone
(301) 722-5850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 13543 MD Primary

Addresses

Primary practice location

428 National Hwy
Lavale, MD 21502-7129

Mailing address

428 National Hwy
Lavale, MD 21502-7129
Phone (301) 722-5850

Other identifiers 2

IdentifierTypeStateIssuer
0006729OtherMDPHYSICIANS CARE
1694475OtherMDUCCI

Other names 1

  • Allegany Orthodontics PC Doing business as

National Provider Directory

National Provider Directory

Locations

428 National Hwy
Lavale, MD 21502
Phone (301) 722-5850

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1548242597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027129",
            "telephone_number": "301-722-5850",
            "fax_number": "301-722-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 NATIONAL HWY",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027129",
            "telephone_number": "301-722-5850",
            "fax_number": "301-722-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W CHARLES MCLUCKIE DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "ORTHODONTIST PRESIDENT",
        "authorized_official_telephone_number": "301-722-5850",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MD",
            "license": "13543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS CARE",
            "identifier": "0006729",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "1694475",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allegany Orthodontics PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lavale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.