Individual provider Active NPI

James Roy McCawley, DDS

  • General Practice Dentistry
  • Murfreesboro, TN
National Provider Identifier
1861481186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2767 Issued in TN
Practice address
218 MTCS Rd
Murfreesboro, TN 37129-0515
Phone
(615) 890-1461
Fax
(615) 893-8296
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2767 TN Primary

Addresses

Primary practice location

218 MTCS Rd
Murfreesboro, TN 37129-0515

Mailing address

218 MTCS Rd
Murfreesboro, TN 37129-0515
Phone (615) 890-1461

Other identifiers 1

IdentifierTypeStateIssuer
2007180OtherTNBCBS PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140509002026 TN Practitioner - Oral Surgery 1456584325 Practice locations: Murfreesboro, TN
O20140508001011 TN DME Supplier - Oral Surgery - Dentist 4284867797 Practice locations: Murfeesboro, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2767TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
James R. McCawley CurrentSince Mar 14, 2014 Accepting new patients

Locations

218 Mtcs Rd
Murfreesboro, TN 37129
Phone (615) 890-1461

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861481186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MTCS RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290515",
            "telephone_number": "615-890-1461",
            "fax_number": "615-893-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MTCS RD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290515",
            "telephone_number": "615-890-1461",
            "fax_number": "615-893-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAWLEY",
        "first_name": "JAMES",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "2767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "2007180",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.