Individual provider Active NPI

Kevin McKinney

  • General Practice Dentistry
  • Oroville, CA
National Provider Identifier
1043629215
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
C3845 Issued in CA
Practice address
2014 5TH Ave
Oroville, CA 95965-5815
Phone
(530) 533-8204
NPI assigned
Aug 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X C3845 CA Primary

Addresses

Primary practice location

2014 5TH Ave
Oroville, CA 95965-5815

Mailing address

2014 5TH Ave
Oroville, CA 95965-5815
Phone (530) 533-8204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 2, 2015 through Dec 2, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C3845CAMDGeneral Practice Dentistry
63845CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Brent E Parrott DDS Inc General Practice Past Accepting new patients
B. Ellis Parrott, DDS Inc. General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407801600000",
    "number": "1043629215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 5TH AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655815",
            "telephone_number": "530-533-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 5TH AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655815",
            "telephone_number": "530-533-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "C3845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.