Cory McMahan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10399 Issued in NC

Practice address

491 Williamson Rd Ste 205
Mooresville, NC 28117-9255

Phone

(704) 664-3124

Fax

(704) 664-3125

NPI assigned

Jun 14, 2016

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

Locations

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.

• Cory D. McMahan, DDS, PLLC

  • Dental Clinic/Center
  • Mooresville, NC
  • NPI 1023680584
  NPD Authorized official

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1760832380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 WILLIAMSON RD STE 205",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179255",
            "telephone_number": "704-664-3124",
            "fax_number": "704-664-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 WILLIAMSON RD STE 205",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179255",
            "telephone_number": "704-664-3124",
            "fax_number": "704-664-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-14",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kaitlin McGugan
• John Lyle McGuinness
• Destiny McIntosh
• Katherine McIntosh, LCSW
• Allena McLaurin, MA
• Jonathan McMullen, MD
• James W McNabb, M.D.
• Stephanie M McNamara, DPT
• Jessica Paige McNeely, COTA/L
• Carly McRae, DMD

• General Practice Dentistry in Mooresville, NC
• Providers in Mooresville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.