Active NPI
Mike C McCabe, D.D.S.
- General Practice Dentistry
- Gulfport, MS
National Provider Identifier
1891985875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1985-82
- Practice address
- 605 16TH St
Gulfport, MS 39507-1302 - Phone
- (228) 896-7404
- Fax
- (228) 896-6048
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1985-82 | MS | Primary |
Addresses
Primary practice location
605 16TH St
Gulfport, MS 39507-1302
Mailing address
605 16TH St
Gulfport, MS 39507-1302
Phone (228) 896-7404
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1985-82 | MS | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1891985875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 16TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071302",
"telephone_number": "228-896-7404",
"fax_number": "228-896-6048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 16TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395071302",
"telephone_number": "228-896-7404",
"fax_number": "228-896-6048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCABE",
"first_name": "MIKE",
"middle_name": "C",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MS",
"license": "1985-82",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.