DR. MICHAEL SHAWN MCCORMACK D.D.S. NPI 1891007225

NPI Information

NPI: 1891007225
Provider Name: DR. MICHAEL SHAWN MCCORMACK, D.D.S.
Classification: Dentist - 1223D0001X
Specialization: Dental Public Health
Entity Type: Individual
PECOS Registration: Yes
Address: 1502 N VERCLER RD
SPOKANE VALLEY, WA
ZIP 99216
Phone: (509) 444-8200

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NPI Details

DR. Michael Shawn Mccormack, D.D.S. is a dental public health dentist in Spokane Valley, WA. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DR. Michael Shawn Mccormack, D.D.S. NPI is 1891007225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1502 N VERCLER RD
SPOKANE VALLEY, WA
ZIP 99216-078
Phone: (509) 444-8200
Fax: (509) 434-0392

The NPI 1891007225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/14/2010 and was last updated on 9/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DD5553	NEW MEXICO	No
2	1223G0001X	Dentist	General Practice	00201972	COLORADO	No
3	1223D0001X	Dentist	Dental Public Health	DE61574138	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	500624011	MEDICAID	OREGON
2	78337372	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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