Jack D McCalmon, DDS FAGD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2758 Issued in OK

Practice address

8283 South Walker
Suite a
Oklahoma City, OK 73139

Phone

(405) 632-5561

Fax

(405) 632-6301

NPI assigned

Mar 29, 2007

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

Practice roles

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.

• Matthew D. McReynolds, D.D.S, P.L.L.C.

  • Dentist
  • Oklahoma City, OK
  • NPI 1710436233
  NPD (past)
• Progressive Dental

  • General Practice Dentistry
  • Oklahoma City, OK
  • NPI 1417231887
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679692446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8283 SOUTH WALKER",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-632-5561",
            "fax_number": "405-632-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8283 SOUTH WALKER",
            "address_2": "SUITE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73139",
            "telephone_number": "405-632-5561",
            "fax_number": "405-632-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALMON",
        "first_name": "JACK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DDS FAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "2758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamaram R McCalister
• Kyle Marie McCall, DNP
• Mitchell Wayde McCall
• Larry McCallister, MA,LPC
• Brent Matthew McCalmon, DC
• Lorraine Elizabeth McCandless, RN
• Debra L McCann, MS,ARNP
• Ashley McCargo, APRN-CNP
• Carla Alicia McCarrell-Williams, M.ED.
• Allison McCarthy, PHARMD

• General Practice Dentistry in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• General Practice Dentistry in Oklahoma

• 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.