Individual provider Active NPI

Phillip G. McClary, D.M.D.; M.SC.O.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenwood, SC
National Provider Identifier
1700031291
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
176-1646 Issued in SC
Practice address
849 Highway 72 Bypass West
Greenwood, SC 29649
Phone
(864) 223-7756
Fax
(864) 323-0056
NPI assigned
Nov 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 176-1646 SC Primary

Addresses

Primary practice location

849 Highway 72 Bypass West
Greenwood, SC 29649

Mailing address

849 Highway 72 Bypass West
Greenwood, SC 29649
Phone (864) 223-7756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
176-1646SCMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1700031291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 HIGHWAY 72 BYPASS WEST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-223-7756",
            "fax_number": "864-323-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 HIGHWAY 72 BYPASS WEST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "29649",
            "telephone_number": "864-223-7756",
            "fax_number": "864-323-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLARY",
        "first_name": "PHILLIP",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.; M.SC.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "176-1646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; 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.