Individual provider Active NPI

Greg Monte McCourt, D.D.S.

  • General Practice Dentistry
  • Mooresville, NC
National Provider Identifier
1801805932
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC 6299 Issued in NC
Practice address
528 Williamson Rd
Suite 201
Mooresville, NC 28117-9186
Phone
(704) 660-1802
Fax
(704) 660-1804
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NC 6299 NC Primary

Addresses

Primary practice location

528 Williamson Rd
Suite 201
Mooresville, NC 28117-9186

Mailing address

528 Williamson Rd
Suite 201
Mooresville, NC 28117-9186
Phone (704) 660-1802

Other identifiers 2

IdentifierTypeStateIssuer
253953OtherNCCIGNA
95661OtherNCBCBS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NC 6299NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1801805932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 WILLIAMSON RD",
            "address_2": "SUITE 201",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179186",
            "telephone_number": "704-660-1802",
            "fax_number": "704-660-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 WILLIAMSON RD",
            "address_2": "SUITE 201",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179186",
            "telephone_number": "704-660-1802",
            "fax_number": "704-660-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOURT",
        "first_name": "GREG",
        "middle_name": "MONTE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC 6299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "253953",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95661",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.