McCabe Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3541-10 Issued in MS

Legal business name

MCCABE ORTHODONTICS PLLC

Practice address

4341 Gautier Vancleave Rd
Suite 3
Gautier, MS 39553-4825

Phone

(228) 497-9844

Fax

(228) 497-9499

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Matthew McCabe, DMD, MS, MBANPI 1639508096

Title

Managing Member

Phone

(228) 497-9844

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Matthew McCabe, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gautier, MS
  • NPI 1639508096

  Orthodontics and Dentofacial Orthopedics

  NPD (past) Authorized official
• Samuel Bowen Mayfield, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gautier, MS
  • NPI 1235286642

  Orthodontics and Dentofacial Orthopedics

  NPD (past)

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1922411297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 GAUTIER VANCLEAVE RD",
            "address_2": "SUITE 3",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395534825",
            "telephone_number": "228-497-9844",
            "fax_number": "228-497-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 GAUTIER VANCLEAVE RD",
            "address_2": "SUITE 3",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395534825",
            "telephone_number": "228-497-9844",
            "fax_number": "228-497-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCABE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "228-497-9844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS, MBA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "3541-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredericka L Mason
• Eva Marie Masrur, B.S.
• Edna Mae Mattox, MSW
• Samuel Bowen Mayfield, D.D.S.
• Timothy C Mazingo, B.A.
• Matthew McCabe, D.M.D.
• Liddiea L McCarty
• Melissa Ann McCracken, B.A.
• Latonya McCullum
• Leonard J McEwen, MS CMHT

• All providers in Gautier, MS
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.