Michael McKinnie, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12546 Issued in TN

Practice address

2111 N Jackson St Ste 109
Tullahoma, TN 37388-2288

Phone

(931) 455-0950

NPI assigned

Feb 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1033975974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N JACKSON ST STE 109",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882288",
            "telephone_number": "931-455-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNIE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen A Mayor-Lynn, MD
• James Shawn McBride, O.D.
• Andrew David McCall, BS
• Terry Lee McClarney, D.C.
• Patricia Mae McDougall, NP
• Mallory Holter McLaren, BCBA, LBA
• Isaac Grant McMillan, RPH
• Michelle Ann McMillan, FNP-BC, APRN
• Ashley McMurtry, PT
• Medical Imaging Consultants, PC

• Dentist in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; 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.