Individual provider Active NPI

Loren Meredith McCracken, DMD

  • Dentist
  • Tuscaloosa, AL
National Provider Identifier
1851480115
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5230 Issued in AL
Practice address
2350 Hargrove Rd E
Tuscaloosa, AL 35405-2612
Phone
(205) 562-7002
Fax
(205) 562-6903
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5230 AL Primary

Addresses

Primary practice location

2350 Hargrove Rd E
Tuscaloosa, AL 35405-2612

Mailing address

2350 Hargrove Rd E
Tuscaloosa, AL 35405-2612
Phone (205) 562-7002

Other identifiers 1

IdentifierTypeStateIssuer
009964985MedicaidAL

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
5230ALMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
MX6, LLC PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1851480115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 HARGROVE RD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354052612",
            "telephone_number": "205-562-7002",
            "fax_number": "205-562-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 HARGROVE RD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354052612",
            "telephone_number": "205-562-7002",
            "fax_number": "205-562-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "LOREN",
        "middle_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009964985",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.