Kenneth A Macafee II, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

18507 Issued in MA

Practice address

982 Main St
Waltham, MA 02451-7404

Phone

(781) 899-5660

Fax

(781) 893-7027

NPI assigned

Nov 9, 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.

• Highland Oral Surgery PLLC

  • Dental Clinic/Center
  • Waltham, MA
  • NPI 1710786256
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093885691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517404",
            "telephone_number": "781-899-5660",
            "fax_number": "781-893-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 MAIN ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024517404",
            "telephone_number": "781-899-5660",
            "fax_number": "781-893-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACAFEE",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "18507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julius Lwomwa
• Brianne Aileen Lydon, LICSW
• Carolyn Lynes, LICSW
• Crystal L Lyons, JD
• Jacqueline Lyttle, REGISTERED NURSE
• Stewart Macarthur
• Courtney Macdonald
• Megan Lorraine Macdonald, MS, OTR/L
• Danielle A Macfarlane, PT
• Sophia Louise Macheras, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Waltham, MA
• Providers in Waltham, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.