Individual provider Active NPI

Joseph Bernard McLaurin Jr., D.M.D.

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1871605956
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS4295 Issued in TN
Practice address
360 E Eh Crump Blvd
Memphis, TN 38126-5310
Phone
(901) 261-2000
Fax
(901) 946-9262
NPI assigned
Aug 31, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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 DS4295 TN Primary

Addresses

Primary practice location

360 E Eh Crump Blvd
Memphis, TN 38126-5310

Mailing address

360 E Eh Crump Blvd
Memphis, TN 38126-5310
Phone (901) 261-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20171109003290 TN Practitioner - DentistPractitioner - Oral Surgery 3577829316 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS4295TNMDGeneral Practice Dentistry
4295TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Health Center, Inc. CurrentSince Jul 26, 2017 Accepting new patients
Memphis Health Center, Inc. CurrentSince Jul 26, 2017 Accepting new patients
Christ Community Health Services Inc CurrentSince Mar 20, 2025 Accepting new patients
Christ Community Health Services Inc CurrentSince Mar 20, 2025 Accepting new patients
Christ Community Health Services, Inc Past Accepting new patients

Locations

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

5366 Mendenhall Mall
Memphis, TN 38115
Phone (901) 271-6100

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

Interoperability endpoints

  • Direct secure messaging: joseph.mclaurin.p1@direct.mphshc.nextgenshare.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1871605956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E EH CRUMP BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381265310",
            "telephone_number": "901-261-2000",
            "fax_number": "901-946-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E EH CRUMP BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381265310",
            "telephone_number": "901-261-2000",
            "fax_number": "901-946-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAURIN",
        "first_name": "JOSEPH",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.