NPIMap

Organization Active NPI

Ronnie a. McCaghren Family Dentistry DMD., PC

  • General Practice Dentistry
  • Decatur, AL
National Provider Identifier
1588755748
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4449 Issued in AL
Legal business name
RONNIE A. MCCAGHREN FAMILY DENTISTRY DMD., PC
Practice address
1906 Flint Rd SE.
Decatur, AL 35601-6025
Phone
(256) 353-0832
Fax
(256) 353-0876
NPI assigned
Sep 27, 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. Ronnie Allen McCaghrenNPI 1265542112
Title
Doctor
Phone
(256) 353-0832

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 4449 AL Primary

Addresses

Primary practice location

1906 Flint Rd SE.
Decatur, AL 35601-6025

Mailing address

1906 Flint Rd SE.
Decatur, AL 35601-6025
Phone (256) 353-0832

National Provider Directory

National Provider Directory

Locations

1906 Flint Rd SE
Decatur, AL 35601
Phone (256) 353-0832

Practitioners & affiliated clinicians

Practitioners 1

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588755748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 FLINT RD SE.",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016025",
            "telephone_number": "256-353-0832",
            "fax_number": "256-353-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 FLINT RD SE.",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016025",
            "telephone_number": "256-353-0832",
            "fax_number": "256-353-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNIE A. MCCAGHREN FAMILY DENTISTRY DMD., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCAGHREN",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "256-353-0832",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

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.