Van Wallace McCarlie Jr., M.A., D.M.D., PH.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0118 Issued in NC

Practice address

1851 Macgregor Downs Rd
Ross Hall, Room 3151
Greenville, NC 27834-5925

Phone

(252) 737-7168

Fax

(252) 737-7080

NPI assigned

Oct 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1851643167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 MACGREGOR DOWNS RD",
            "address_2": "ROSS HALL, ROOM 3151",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345925",
            "telephone_number": "252-737-7168",
            "fax_number": "252-737-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 MACGREGOR DOWNS RD",
            "address_2": "ROSS HALL, ROOM 3151",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345925",
            "telephone_number": "252-737-7168",
            "fax_number": "252-737-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARLIE",
        "first_name": "VAN",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.A., D.M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "0118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Ruth McCallum, MD
• Eli McCalpine
• Brandon McCann
• Sarah P McCann, OD
• Micah Andrew McCanna, CRNA
• Talecia McCarter
• McCarthy Family Chiropractic, PC
• Michelle McCarthy, MS LPC
• Natalie Bland McCarthy, DDS
• Robert F McCarthy, D. C.

• Orthodontics and Dentofacial Orthopedics Dentistry in Greenville, NC
• Providers in Greenville, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.