Active NPI
John Warren McGaughey, DDS
- Dentist
- Mount Shasta, CA
National Provider Identifier
1841307501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20231
- Practice address
- 326 N Mt Shasta Blvd
#4
Mt Shasta, CA 96067 - Phone
- (530) 926-6441
- Fax
- (530) 926-6441
- NPI assigned
- Aug 25, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20231 | CA | Primary |
Addresses
Primary practice location
326 N Mt Shasta Blvd
#4
Mt Shasta, CA 96067
Mailing address
326 N Mt Shasta Blvd
#4
Mt Shasta, CA 96067
Phone (530) 926-6441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B2023101 | Other | CA | DENTICAL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20231 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841307501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 N MT SHASTA BLVD",
"address_2": "#4",
"city": "MT SHASTA",
"state": "CA",
"postal_code": "96067",
"telephone_number": "530-926-6441",
"fax_number": "530-926-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 N MT SHASTA BLVD",
"address_2": "#4",
"city": "MT SHASTA",
"state": "CA",
"postal_code": "96067",
"telephone_number": "530-926-6441",
"fax_number": "530-926-6441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGAUGHEY",
"first_name": "JOHN",
"middle_name": "WARREN",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "20231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTICAL",
"identifier": "B2023101",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Shasta, CA
- McCloud Dba Urology Clinic
- McCloud Healthcare Clinic, Inc. (Siskiyou Medical Group)
- McCloud Healthcare Clinic, Inc. (Shasta Cascade Health Centers- Mt Shasta)
- McCloud Healthcare Clinic, Inc. (Shasta Cascade Health Centers- Mt Shasta 822 Pine)
- Sally McFall, MFT
- Destiny McNally
- John McNally
- Jessica Sarah Mead, M.A. CCC-SLP
- Michael Staszel D.O. P.a (Office of Michael Staszel, D.O P.A.)
- Edward B Miller, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.