Bruce Charles Mackinnon, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN01579 Issued in RI

Practice address

88 Beach St
Westerly, RI 02891-2718

Phone

(401) 569-0075

Fax

(401) 596-0388

NPI assigned

May 8, 2006

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

Practice roles

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.

• Beachcrest Dental, Inc.

  • Dental Clinic/Center
  • Westerly, RI
  • NPI 1902070865
  NPD (past) Authorized official

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1083663249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912718",
            "telephone_number": "401-569-0075",
            "fax_number": "401-596-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 BEACH ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912718",
            "telephone_number": "401-569-0075",
            "fax_number": "401-596-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINNON",
        "first_name": "BRUCE",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN01579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Rae Lohman, FNP-BC
• Maryanne Lohrey, MSW LCSW LICSW
• Marianne T Longacre, DO
• Maureen Elizabeth Lopes, PHARMACIST
• Kristen Mariah Lopez Siscamanis, DPT
• Macyop LLC
• Salvatore F Magliari, OD
• Roy M Main, MD
• Gayle E. Maloney
• Mark J Mancini, MD

• General Practice Dentistry in Westerly, RI
• Providers in Westerly, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.