John Bernard McCabe, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN7301 Issued in FL

Practice address

407 Walnut St
Green Cove Springs, FL 32043-3443

Phone

(904) 284-0773

Fax

(904) 284-1159

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588734149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WALNUT ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433443",
            "telephone_number": "904-284-0773",
            "fax_number": "904-284-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WALNUT ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433443",
            "telephone_number": "904-284-0773",
            "fax_number": "904-284-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCABE",
        "first_name": "JOHN",
        "middle_name": "BERNARD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072622200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Magnolia Urgent Care, PA
• Maria E Mora MD PA (Middleburg Pediatrics)
• Nicole Marquiss, M.A., L.M.H.C
• Faith Diana Martin- Coulter
• Brooke L Matsanka, PHARMD, RPH
• Winona McCall, COTA, CLWTC
• Kimberly Summer McCuen
• Mary A McIntyre, PHARMD
• Tracy Lynn McKay, SLP
• Jennifer Angell McKee, MS

• General Practice Dentistry in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.