NPIMap

Organization Active NPI

McClure Pediatric Dentistry, PLLC

Doing business as McClure Pediatric Dentistry

  • Dental Clinic/Center
  • Frisco, TX
National Provider Identifier
1871857169
Registry record updated Jan 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
23879 Issued in TX
Legal business name
MCCLURE PEDIATRIC DENTISTRY, PLLC
Doing business as
McClure Pediatric Dentistry
Practice address
14660 State Highway 121
#300
Frisco, TX 75035-4629
Phone
(972) 549-4036
NPI assigned
Jul 1, 2012
Last updated
Jan 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2017

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

Authorized official

Name
Dr. Jon Wesley McClure, D.D.S.NPI 1326205758
Title
Owner
Phone
(972) 549-4036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 23879 TX Primary

Addresses

Primary practice location

14660 State Highway 121
#300
Frisco, TX 75035-4629

Mailing address

14660 State Highway 121
#300
Frisco, TX 75035
Phone (972) 549-4036

Other names 1

  • McClure Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

14660 State Highway 121
Ste 300
Frisco, TX 75035
Phone (972) 549-4036

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485388800000",
    "number": "1871857169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14660 STATE HIGHWAY 121",
            "address_2": "#300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-549-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14660 STATE HIGHWAY 121",
            "address_2": "#300",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354629",
            "telephone_number": "972-549-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLURE PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-01",
        "last_updated": "2017-01-26",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-549-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McClure Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.