NPIMap

Organization Active NPI

Mary Lynne McElhaney, DDS

  • General Practice Dentistry
  • Burlington, NC
National Provider Identifier
1588748685
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5733 Issued in NC
Legal business name
MARY LYNNE MCELHANEY, DDS
Practice address
3008 S Church St Ste B
Burlington, NC 27215-5686
Phone
(336) 584-7004
Fax
(336) 584-3515
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mary Lynne McElhaney, DDSNPI 1730119157
Title
Doctor
Phone
(336) 584-7004

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5733 NC Primary

Addresses

Primary practice location

3008 S Church St Ste B
Burlington, NC 27215-5686

Mailing address

3008 S Church St Ste B
Burlington, NC 27215-5686
Phone (336) 584-7004

Other identifiers 3

IdentifierTypeStateIssuer
95749OtherNCBLUE CROSS BLUE SHIELD
50643241OtherNCAETNA
8995749MedicaidNC

National Provider Directory

National Provider Directory

Locations

3008 S Church St
Ste B
Burlington, NC 27215
Phone (336) 584-7004

Practitioners & affiliated clinicians

Practitioners 3

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588748685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 S CHURCH ST STE B",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155686",
            "telephone_number": "336-584-7004",
            "fax_number": "336-584-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 S CHURCH ST STE B",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272155686",
            "telephone_number": "336-584-7004",
            "fax_number": "336-584-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LYNNE MCELHANEY, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCELHANEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "336-584-7004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95749",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "50643241",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995749",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.