Rex Powell McCrary, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6461 Issued in KY

Practice address

201 S Main St
Ste. 201
Winchester, KY 40391-2455

Phone

(859) 744-2512

Fax

(859) 231-8988

NPI assigned

Jul 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992719264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "address_2": "STE. 201",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912455",
            "telephone_number": "859-744-2512",
            "fax_number": "859-231-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "address_2": "STE. 201",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912455",
            "telephone_number": "859-744-2512",
            "fax_number": "859-231-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "REX",
        "middle_name": "POWELL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60064615",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Karyn McCauley
• Karl McClanahan, O.D.
• Deborah K McCord, CSW
• Tammy P McCord, DMD
• James Caleb McCoy, PT, DPT
• Jessica Thomas McMaine, APRN
• David A. McMenamin, M.D.
• Pamela McMichael, SLP
• Christy McQuade, RPH
• Means Adult Primary Care Clinic of Kentucky PLLC

• General Practice Dentistry in Winchester, KY
• Providers in Winchester, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.