Active NPI
James T McClung Jr., DDS
- Oral and Maxillofacial Surgery (Dentist)
- Roanoke, VA
National Provider Identifier
1962472878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 4673
- Practice address
- 6035 Peters Creek Rd
Roanoke, VA 24019-4029 - Phone
- (540) 362-5900
- Fax
- (540) 366-5131
- NPI assigned
- Jan 24, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 4673 | VA | Primary |
Addresses
Primary practice location
6035 Peters Creek Rd
Roanoke, VA 24019-4029
Mailing address
PO Box 7889
Roanoke, VA 24019
Phone (540) 362-5900
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 |
|---|---|---|---|
| 4673 | VA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1962472878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7889",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24019",
"telephone_number": "540-362-5900",
"fax_number": "540-366-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6035 PETERS CREEK RD",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240194029",
"telephone_number": "540-362-5900",
"fax_number": "540-366-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLUNG",
"first_name": "JAMES",
"middle_name": "T",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "4673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.