Dr. McClary & Assoc. Wake Forest, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. MCCLARY & ASSOC. WAKE FOREST, P.A.

Practice address

11480 Capital Blvd.
Suite 115 Caveness Farms
Wake Forest, NC 27587-4554

Phone

(919) 570-9898

Fax

(216) 584-1120

NPI assigned

Aug 13, 2008

Organization subpart

Yes

Parent organization

DENTALONE PARTNERS, INCAs reported in NPPES

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

Authorized official

Name

Dr. Randall McClary, D.D.S.NPI 1033237821

Title

Dentist/Owner

Phone

(800) 487-4867

Specialties & licenses 7

Addresses

Other names 1

• DentalWorks Doing business as

Part of

Network Provider Associates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall McClary

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mayfield HTS, OH
  • NPI 1033237821
  NPD (past) Authorized official

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1780830489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 860036",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55486",
            "telephone_number": "919-570-9898",
            "fax_number": "216-584-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 CAPITAL BLVD.",
            "address_2": "SUITE 115 CAVENESS FARMS",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874554",
            "telephone_number": "919-570-9898",
            "fax_number": "216-584-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MCCLARY & ASSOC. WAKE FOREST, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
        "enumeration_date": "2008-08-13",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "MCCLARY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "800-487-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentalWorks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Victoria Douglass, LCSWA, LCASA
• Down to Earth Therapy, PLLC
• Dr Chaudhary DMD PLLC
• Dr. Cameron & Associates of Wake Forest I, PLLC
• Dr. Clifton Cameron & Associates of Heritage Junction, PLLC
• Vanessa Ruth Drake, MSN RN CWOCN
• Shelly Dranko, D.C.
• Lisa Annette Driver, LPC
• DRS. Abdelbaky, Boes, Cameron & Associates of Wake Forest II, PLLC
• Anne S Duehring

• General Practice Dentistry in Wake Forest, NC
• Providers in Wake Forest, 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 Jun 30, 2014; 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.