Billy W. McCann Jr.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS5401 Issued in TN

Practice address

5885 Ridgeway Center Pkwy
Suite 230
Memphis, TN 38120-4055

Phone

(901) 767-9200

Fax

(901) 767-9422

NPI assigned

Nov 1, 2006

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

Other names 1

• Dr. Billy W. McCann Jr. Other name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Jude Children'S Research Hospital, Inc.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1306335088
  Medicare reassignment NPD
• McCann Pediatric Dentistry, P.C.

  • Pediatric Dentistry
  • Memphis, TN
  • NPI 1831353648
  NPD (past) Authorized official
• St Jude Children'S Research Hospital

  • Special Hospital
  • Memphis, TN
  • NPI 1821432212
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629155197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5885 RIDGEWAY CENTER PKWY",
            "address_2": "SUITE 230",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204055",
            "telephone_number": "901-767-9200",
            "fax_number": "901-767-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 RIDGEWAY CENTER PKWY",
            "address_2": "SUITE 230",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204055",
            "telephone_number": "901-767-9200",
            "fax_number": "901-767-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "BILLY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS5401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016039",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLY",
            "last_name": "MCCANN",
            "middle_name": "W.",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vicki Lynne McCall, LPC
• Julian A McCalla
• Robert Edward McCalla, DDS
• Carol L McCallen, OT
• McCann Pediatric Dentistry, P.C.
• Billy Westmoreland McCann Sr., DDS
• Lauren N McCann, CRNA
• Rachel Katherine McCann
• Sheila McCarley, CRNA
• Ashley Bailey McCarthy, M.A. CCC-SLP

• Pediatric Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Dentistry in Tennessee

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.