Active NPI
Stefanie Joy McCann, MD
- Adult Medicine Physician
- Dallas, TX
National Provider Identifier
1720172265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- H8244
- Practice address
- 18800 Preston Road
Suite 314
Dallas, TX 75252 - Phone
- (972) 312-9292
- Fax
- (972) 312-9995
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | H8244 | TX | Primary |
Addresses
Primary practice location
18800 Preston Road
Suite 314
Dallas, TX 75252
Mailing address
18800 Preston Road
Suite 314
Dallas, TX 75252
Phone (972) 312-9292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048CU | Other | TX | BCBS PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190764800000",
"number": "1720172265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18800 PRESTON ROAD",
"address_2": "SUITE 314",
"city": "DALLAS",
"state": "TX",
"postal_code": "75252",
"telephone_number": "972-312-9292",
"fax_number": "972-312-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18800 PRESTON ROAD",
"address_2": "SUITE 314",
"city": "DALLAS",
"state": "TX",
"postal_code": "75252",
"telephone_number": "972-312-9292",
"fax_number": "972-312-9995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "STEFANIE",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TX",
"license": "H8244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "0048CU",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.