Gary Edward McKenna, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS0000001671 Issued in TN

Practice address

424 N High St
Morristown, TN 37814-3863

Phone

(423) 581-1611

Fax

(423) 581-2045

NPI assigned

Oct 19, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1093704272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 BALES DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378146102",
            "telephone_number": "423-581-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N HIGH ST",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143863",
            "telephone_number": "423-581-1611",
            "fax_number": "423-581-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "GARY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "DS0000001671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3223266",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent Michael McGinley, MD
• April S McGlothin, RN,BSN,OCN,NP
• Jessica Lyn McGlumphy, BAE
• Bree Violet McGrane, M.A.
• John McGuire, D.D.S
• Mark Joseph McKenna, D.D.S.
• April McKinney, DAY PROGRAM PROVIDER
• John Stephen McKinney, PHARM D.
• Rachel McKinney, NP-C
• Ramona R McKinney, LMFT

• Orthodontics and Dentofacial Orthopedics Dentistry in Morristown, TN
• Providers in Morristown, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.