NPIMap

Organization Active NPI

McCabe Dental Clinic

  • Dentist
  • Gulport, MS
National Provider Identifier
1811069164
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MCCABE DENTAL CLINIC
Practice address
512 Cowan Rd
Gulport, MS 39507
Phone
(228) 896-7404
Fax
(228) 896-6048
NPI assigned
Nov 14, 2006
Last updated
Feb 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Authorized official

Name
Mike C McCabe, DDSNPI 1891985875
Title
Owner
Phone
(228) 896-7404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

512 Cowan Rd
Gulport, MS 39507

Mailing address

PO Box 7239
Gulfport, MS 39506
Phone (228) 896-7404

National Provider Directory

National Provider Directory

Locations

512 Cowan Rd
Gulfport, MS 39507
Phone (228) 896-7404

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1811069164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7239",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39506",
            "telephone_number": "228-896-7404",
            "fax_number": "228-896-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 COWAN RD",
            "city": "GULPORT",
            "state": "MS",
            "postal_code": "39507",
            "telephone_number": "228-896-7404",
            "fax_number": "228-896-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCABE DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-896-7404",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.