Active NPI
Dr. McClary & Assoc. Wendover, P.a.
- General Practice Dentistry
- Greensboro, NC
National Provider Identifier
1821313446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8135
- Legal business name
- DR. MCCLARY & ASSOC. WENDOVER, P.A.
- Practice address
- 4215 W Wendover Ave
Greensboro, NC 27407-1921 - Phone
- (336) 294-5020
- Fax
- (216) 584-1122
- NPI assigned
- Apr 7, 2010
- Organization subpart
- Yes
- Parent organization
- DENTALONE PARTNERS, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randall Lee McClary, D.D.S.
- Title
- Dentist/Owner
- Phone
- (336) 294-5020
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6541 | NC | |
| Dentist | 122300000X | |||
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | |||
| General Practice Dentistry | 1223G0001X | 8135 | NC | Primary |
| Pediatric Dentistry | 1223P0221X | |||
| Periodontics | 1223P0300X | |||
| Prosthodontics | 1223P0700X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
4215 W Wendover Ave
Greensboro, NC 27407-1921
Mailing address
P.O. Box 860036
Minneapolis, MN 55486
Phone (336) 294-5020
Other names 1
- DentalWorks
National Provider Directory
National Provider Directory- Part of
- Network Provider Associates
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1404172800000",
"number": "1821313446",
"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": "336-294-5020",
"fax_number": "216-584-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 W WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274071921",
"telephone_number": "336-294-5020",
"fax_number": "216-584-1122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. MCCLARY & ASSOC. WENDOVER, P.A.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
"enumeration_date": "2010-04-07",
"last_updated": "2014-07-01",
"status": "A",
"authorized_official_last_name": "MCCLARY",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "336-294-5020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NC",
"license": "6541",
"primary": false
},
{
"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": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "8135",
"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"
}
]
}
Other providers in Greensboro, NC
- Julie Devaughn Downing, FNP-C
- Jonathan Allen Downs, PHARMD
- Cassandra Ann Dowtin, PT
- Mayah Michelle Dozier-Lineberger, NP-C
- Dr Toms Foot and Ankle Clinic PA
- Dr. Paige Dunlap and Company, PLLC
- Dr. Sharon Long-Stokes, D.D.S., P.a.
- Dr. Susie O. Troxler Inc
- Justin Lael Drab, D.M.D.
- Ashleigh Shambley Dragnev, DNP, AGNP, AGPCNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.