Edgar Hood McElroy III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11917 Issued in TX

Practice address

17080 Dallas Pkwy
Dallas, TX 75248-1968

Phone

(469) 685-1700

NPI assigned

Jan 22, 2007

Last updated

Aug 12, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Edgar McElroy III DDS

  • Durable Medical Equipment & Medical Supplies
  • McKinney, TX
  • NPI 1154065266
  NPD Authorized official
• Ed McElroy, III DDS PC

  • Dentist
  • Sherman, TX
  • NPI 1649529801
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1669526471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17080 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481968",
            "telephone_number": "469-685-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17080 DALLAS PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481968",
            "telephone_number": "469-685-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "EDGAR",
        "middle_name": "HOOD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah McElhanon
• Jasmine Elysia McElhany, PA
• Michael Keith McElhenie, PHD
• Christopher Jordan McElrath, MD
• Angela Louise McElroy, LPC
• Juliana McElroy, PA-C
• Tye McElroy
• Roxanne Courtney McElwain
• Barbara S. McElwee, WHCNP
• Martin G McElya, DO

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.