Lecroy Graham & McKinneydds PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LECROY GRAHAM & MCKINNEYDDS PLLC

Practice address

123 Little Spring Rd
Blowing Rock, NC 28605-8114

Phone

(828) 295-9603

Fax

(828) 295-9615

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Yi Shull

Title

Practice Manager

Phone

(704) 917-9218

Specialties & licenses 1

Addresses

Other names 1

• LeCroy Dental Arts Doing business as

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1780447490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286051083",
            "telephone_number": "828-295-9603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LITTLE SPRING RD",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286058114",
            "telephone_number": "828-295-9603",
            "fax_number": "828-295-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LECROY GRAHAM & MCKINNEYDDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "SHULL",
        "authorized_official_first_name": "YI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "704-917-9218"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeCroy Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LeCroy Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Blowing Rock, NC
• Providers in Blowing Rock, 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 Apr 23, 2024; 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.