Mary Margaret McCarthy, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032706 Issued in IL

Practice address

2929 41St St
Moline, IL 61265-7858

Phone

(309) 757-1065

NPI assigned

Jul 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1609494632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 5TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651905",
            "telephone_number": "618-363-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657858",
            "telephone_number": "309-757-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 2nd St W",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "IL",
            "postal_code": "612642743",
            "country_code": "US",
            "telephone_number": "309-787-5992",
            "fax_number": "309-787-8283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Mathews
• Donna Matt, RD, LDN, CDE
• Abbey G Matzen, NP
• Jeffrey N Maurus, MD
• Billy J McCallister, PHARM. D
• Molly Ann McCarty, FNP
• Laura McCaughey
• Carley McCloud, NP
• Heather Lane McCollough, ARNP
• McCollum Psychology, PC

• General Practice Dentistry in Moline, IL
• Providers in Moline, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.