Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Shawn McCormack, DDS

Individual provider General Practice Dentistry · NPI 1891007225

Dr. Michael Shawn McCormack, DDS is a Dentist in Questa, New Mexico. Qualified in 2010, 16 years ago. Licensed in Colorado, New Mexico and Washington.

Years since qualifying
16
Licensed in
CO, NM, WA
In the registry since
2010
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2573 State Highway 522
Questa, NM 87556-0290
Phone: (575) 586-0315
Fax: (505) 443-8353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DB-2026-0084 (NM)
General Practice Dentistry Taxonomy 1223G0001X · Licence 00201972 (CO)
Public Health Dentistry Taxonomy 1223D0001X · Licence DE61574138 (WA)

Record details

NPI number1891007225
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 14, 2010
Last updated in NPPESJune 19, 2026
Certification dateJune 19, 2026
Mailing address2573 State Highway 522, Questa, NM 87556-0290

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Questa