Samuel Hathaway McKee, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37388 Issued in TX

Practice address

215 S Loop 336 W
Conroe, TX 77304-3305

Phone

(361) 489-3304

NPI assigned

Jul 4, 2021

Last updated

Jul 4, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1144891888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 GRAYSTONE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043305",
            "telephone_number": "361-489-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "SAMUEL",
        "middle_name": "HATHAWAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-04",
        "last_updated": "2021-07-04",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "37388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley McGrath
• Tiffany McGregor
• Madison Beth McGuire
• Lynn Ann McInnis, PA-C
• Kenzie Kay McKay, DO STUDENT
• Stephen L McKernan, D.O.
• Laurel L McKillip, M.D.
• Brittany Lynn McLane
• Erin Rene McLean, FNP-C
• Martin McMichael, CRNA

• General Practice Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; 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.