Active NPI
Kenneth William McGee, D.D.S.
- Dentist
- Waverly, VA
National Provider Identifier
1043438229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401410296
- Practice address
- 24427 Mussellwhite Dr
Waverly, VA 23891-2222 - Phone
- (804) 834-2678
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401410296 | VA | Primary |
Addresses
Primary practice location
24427 Mussellwhite Dr
Waverly, VA 23891-2222
Mailing address
3019 Semmes Ave
Richmond, VA 23225-3756
Phone (804) 230-6687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160615001235 | VA | Order and Referring Only - Dentist | 0648561076 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401410296 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043438229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 SEMMES AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232253756",
"telephone_number": "804-230-6687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24427 MUSSELLWHITE DR",
"city": "WAVERLY",
"state": "VA",
"postal_code": "238912222",
"telephone_number": "804-834-2678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEE",
"first_name": "KENNETH",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401410296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waverly, VA
- Jakafi Behavioral Care Center, LLC
- Kimberly Kay Jones, LCSW
- Robin Jones
- Aaron David Lohnes, RPH.
- Shawn Danielle Manning
- Medical Facilities of America L (Waverly Health & Rehabilitation Center)
- Talmage Thomas Musgrove III, RPH
- New Beginning Inc
- On Time Care Transport LLC
- Providing Ease Residential Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.