Organization Active NPI

G Gibson McCall, III, DDS, PLLC

  • Dentist
  • Laurinburg, NC
National Provider Identifier
1568631836
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7305 Issued in NC
Legal business name
G GIBSON MCCALL, III, DDS, PLLC
Practice address
501B Westwood Way
Laurinburg, NC 28352-3459
Phone
(910) 276-3166
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Dr. Glenn Gibson McCall III, DDS
Title
Owner/Member
Phone
(910) 276-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7305 NC Primary

Addresses

Primary practice location

501B Westwood Way
Laurinburg, NC 28352-3459

Mailing address

501B Westwood Way
Laurinburg, NC 28352-3459

Other identifiers 1

IdentifierTypeStateIssuer
89902CWMedicaidNC

National Provider Directory

National Provider Directory

Locations

501B Westwood Way
Laurinburg, NC 28352
Phone (910) 276-3166

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1568631836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501B WESTWOOD WAY",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501B WESTWOOD WAY",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523459",
            "telephone_number": "910-276-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G GIBSON MCCALL, III, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "GIBSON",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "910-276-3166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902CW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.