Charles Morgan McCann, DDS MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D11295 Issued in NE

Practice address

825 Nicollet Mall
Suite 401 Medical Arts Building
Minneapolis, MN 55402-2611

Phone

(612) 339-5593

Fax

(612) 339-5594

NPI assigned

Jan 11, 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

Enrolled in MN

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720138886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 401 MEDICAL ARTS BUILDING",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022611",
            "telephone_number": "612-339-5593",
            "fax_number": "612-339-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL",
            "address_2": "SUITE 401 MEDICAL ARTS BUILDING",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022611",
            "telephone_number": "612-339-5593",
            "fax_number": "612-339-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "CHARLES",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NE",
            "license": "D11295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Tsai McCabe
• Brandon K McCafferty, MD
• Molly McCaffrey
• Rachel Louise McCaffrey, M.D.
• Terri Louise McCall, PTA
• Mandy Jo McCann, M.S., CCC-SLP
• Theodore Scott McCann
• Karen J McCarren, PT
• John Riley McCarten, MD
• McCarthy Builders Inc

• Periodontics in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Periodontics in Minnesota

• 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.