Organization Active NPI

Michael T McAllister DDS PA

  • General Practice Dentistry
  • Burgaw, NC
National Provider Identifier
1922309384
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7785 Issued in NC
Legal business name
MICHAEL T MCALLISTER DDS PA
Practice address
745 US Highway 117 S
C
Burgaw, NC 28425-7746
Phone
(910) 259-3733
Fax
(910) 259-3734
NPI assigned
Nov 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Alice H Wood
Title
Office Manager
Phone
(910) 259-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7785 NC Primary

Addresses

Primary practice location

745 US Highway 117 S
C
Burgaw, NC 28425-7746

Mailing address

745 US Highway 117 S
C
Burgaw, NC 28425-7746
Phone (910) 259-3733

Other identifiers 1

IdentifierTypeStateIssuer
89902U4MedicaidNC

National Provider Directory

National Provider Directory

Locations

745 US Highway 117 S
#C
Burgaw, NC 28425
Phone (910) 259-3733

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1922309384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 US HIGHWAY 117 S",
            "address_2": "C",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284257746",
            "telephone_number": "910-259-3733",
            "fax_number": "910-259-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 US HIGHWAY 117 S",
            "address_2": "C",
            "city": "BURGAW",
            "state": "NC",
            "postal_code": "284257746",
            "telephone_number": "910-259-3733",
            "fax_number": "910-259-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL T MCALLISTER DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-259-3733"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902U4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burgaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.