Jeffrey R McKechnie, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016-0000747 Issued in VT

Practice address

Corner of RT. 100 and RT. 108
Stowe, VT 05672

Phone

(802) 253-7932

Fax

(802) 253-6220

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Jeffrey R. McKechnie, DMD, PC

  • General Practice Dentistry
  • Stowe, VT
  • NPI 1235236647
  NPD (past) Authorized official
• Stowe Dental Associates

  • Dental Clinic/Center
  • Stowe, VT
  • NPI 1285206870
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053412437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1543",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056721543",
            "telephone_number": "802-253-7932",
            "fax_number": "802-253-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CORNER OF RT. 100 AND RT. 108",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "05672",
            "telephone_number": "802-253-7932",
            "fax_number": "802-253-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKECHNIE",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016-0000747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002418",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nashua Charles Arcoleo Malko, LCSW, LICSW
• Natalie M Mannherz
• Michele Mannino
• Katherine Gamble Marvin, MD
• Brenna McGrath
• Tessa C.V. Milnes, D.D.S.
• Mountainside Pharmacy Inc
• Mountainside Pharmacy Inc
• Moving Forward Physical Therapy
• Myeyedr Optometry of Vermont LLC (MyEyeDr.)

• General Practice Dentistry in Stowe, VT
• Providers in Stowe, VT by specialty
• General Practice Dentistry in Vermont

• 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.

Verify at the official NPI Registry.