DR. MASTON R. MCCORKLE JR. (NPI# 1982824744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982824744 |
| Entity Type | Individual |
| Full Name | DR. MASTON R. MCCORKLE JR. |
| Credential | D.D.S. |
| Practice Address |
6220 Peters Creek Rd Roanoke VA 24019-4040 |
| Practice Telephone | 5405631640 |
| Practice Fax Number | 5403628011 |
| Mailing Telephone | 5405631640 |
| Mailing Fax Number | 5403628011 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5335 | VA | Dental Providers |
| Street Address |
6220 PETERS CREEK RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316314743 | David L Jones Dds PC | Dentist | 6220 Peters Creek Rd, Roanoke, VA 24019-4040 | 2015-09-02 |
| 1386046381 | David L Jones | Dentist | 6220 Peters Creek Rd, Roanoke, VA 24019-4040 | 2014-09-22 |
| 1609034636 | David Kyle Fitzgerald | Dentist | 6220 Peters Creek Rd, Roanoke, VA 24019-4040 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891033437 | Penny L. Lampros | Dentist | 2114 Colonial Ave Sw, Roanoke, VA 24015-3205 | 2013-01-16 |
| 1154508877 | Misty Dawn Lenk | Dentist | 7523 New Barrens Ct, Roanoke, VA 24019-3189 | 2008-01-24 |
| 1366580870 | Paul Christian Kaiser | Dentist | 6220 Peters Creek Rd Nw, Roanoke, VA 24019-4040 | 2007-02-05 |
| 1497839971 | Franklin M. Wheelock, Dds, Ms, Md, Ltd. | Dentist | 3231 Electric Rd, Roanoke, VA 24018-6425 | 2006-10-24 |
| 1568949337 | Khaled Alsharif | Dentist | 5002 Airport Rd Nw # 30, Roanoke, VA 24012-1607 | 2018-07-25 |
| 1316314743 | David L Jones Dds PC | Dentist | 6220 Peters Creek Rd, Roanoke, VA 24019-4040 | 2015-09-02 |
| 1205220241 | Simply Straight, P.C. | Dentist | 1502 Williamson Rd Ne, #1000 A, Roanoke, VA 24012-5130 | 2015-03-27 |
| 1386046381 | David L Jones | Dentist | 6220 Peters Creek Rd, Roanoke, VA 24019-4040 | 2014-09-22 |
| 1326484072 | Evan Mitchell Johnson | Dentist | 3231 Electric Rd, Roanoke, VA 24018-6425 | 2013-05-21 |
| 1962706754 | Straight Smiles of Roanoke, Pllc | Dentist | 1502 Williamson Rd Ne, Suite A, Roanoke, VA 24012-5130 | 2011-01-07 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.