Frederick Joseph McCready Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MA12898 Issued in MA

Practice address

255 Park Avenue
Suite 804
Worcester, MA 01609-1984

Phone

(508) 757-3466

Fax

(508) 459-5277

NPI assigned

Aug 30, 2006

Sex

Male

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669582524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVENUE",
            "address_2": "SUITE 804",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091984",
            "telephone_number": "508-757-3466",
            "fax_number": "508-459-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVENUE",
            "address_2": "SUITE 804",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091984",
            "telephone_number": "508-757-3466",
            "fax_number": "508-459-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREADY",
        "first_name": "FREDERICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "MA12898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A McCowan, CRNA
• Amanda McCoy, M.D.
• Sarah McCracken, LCSW
• Alison M. McCray, NP
• Lynn A McCrea, COTA
• Mandi Beth McCrensky, MA
• Chloe McCue
• Jeanette Marie McCue, LMHC
• Jessica McCullough, L.AC
• Shannon McCully

• General Practice Dentistry in Worcester, MA
• Providers in Worcester, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.