Organization Active NPI

McKinney Family Dentistry LLC

  • General Practice Dentistry
  • Minnie, KY
National Provider Identifier
1003434747
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MCKINNEY FAMILY DENTISTRY LLC
Practice address
JCT Route 680 & Hwy 122
Minnie, KY 41651
Phone
(606) 377-0170
Fax
(606) 377-0179
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Veronica Dawn McKinney, DMDNPI 1295874147
Title
Owner/Dentist
Phone
(606) 791-4153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

JCT Route 680 & Hwy 122
Minnie, KY 41651

Mailing address

PO Box 60
Minnie, KY 41651-0060
Phone (606) 377-0170

Other identifiers 2

IdentifierTypeStateIssuer
1295874147OtherKYNPI NUMBER
8085OtherKYSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1003434747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "MINNIE",
            "state": "KY",
            "postal_code": "416510060",
            "telephone_number": "606-377-0170",
            "fax_number": "606-377-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JCT ROUTE 680 & HWY 122",
            "city": "MINNIE",
            "state": "KY",
            "postal_code": "41651",
            "telephone_number": "606-377-0170",
            "fax_number": "606-377-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNEY FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "606-791-4153",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1295874147",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "8085",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnie, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.