Organization Active NPI

McCormick DDS and Associates

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1942568985
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8580 Issued in NC
Legal business name
MCCORMICK DDS AND ASSOCIATES
Practice address
7283 Hwy 42 West
Suite 101
Raleigh, NC 27603-7529
Phone
(919) 424-7203
Fax
(919) 747-9593
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Mr. Bryden S McCormick, DDS
Title
Dentist/ Owner
Phone
(919) 424-7203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8580 NC Primary

Addresses

Primary practice location

7283 Hwy 42 West
Suite 101
Raleigh, NC 27603-7529

Mailing address

7283 Hwy 42 West
Suite 101
Raleigh, NC 27603-7529
Phone (919) 424-7203

Other names 1

  • Middle Creek Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1942568985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7283 HWY 42 WEST",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276037529",
            "telephone_number": "919-424-7203",
            "fax_number": "919-747-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7283 HWY 42 WEST",
            "address_2": "SUITE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276037529",
            "telephone_number": "919-424-7203",
            "fax_number": "919-747-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMICK DDS AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "BRYDEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "919-424-7203",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.