NPIMap

Organization Active NPI

Brian a McMurtry DDS PA

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1790862696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7306 Issued in NC
Legal business name
BRIAN A MCMURTRY DDS PA
Practice address
10816 Black Dog LN, Suite 100
Charlotte, NC 28214
Phone
(704) 392-3883
Fax
(704) 392-3893
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian McMurtryNPI 1891872784
Title
President
Phone
(704) 392-3883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7306 NC Primary

Addresses

Primary practice location

10816 Black Dog LN, Suite 100
Charlotte, NC 28214

Mailing address

10816 Black Dog LN, Suite 100
Charlotte, NC 28214
Phone (704) 392-3883

National Provider Directory

National Provider Directory

Locations

10816 Black Dog Ln
Ste 100
Charlotte, NC 28214
Phone (704) 392-3883

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790862696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 BLACK DOG LN, SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28214",
            "telephone_number": "704-392-3883",
            "fax_number": "704-392-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 BLACK DOG LN, SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28214",
            "telephone_number": "704-392-3883",
            "fax_number": "704-392-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A MCMURTRY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMURTRY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-392-3883",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.