Ethan William McKinney

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1223G0001X Issued in SD

Practice address

5121 S Solberg Ave Ste 120
Sioux Falls, SD 57108-2246

Phone

(605) 339-2955

NPI assigned

Jun 3, 2025

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

Opted out of Medicare

Yes, effective Sep 11, 2025 through Sep 11, 2027

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.

• Great Plains Dental

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1477748275
  NPD (past)

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1174416457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 S SOLBERG AVE STE 120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082246",
            "telephone_number": "605-339-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 S SOLBERG AVE STE 120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082246",
            "telephone_number": "605-339-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "ETHAN",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "1223G0001X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista A. McKeown, M.A. LMFT
• Scott W McKercher, MD
• Anna Marie McKinley
• Benjamin James McKinley, M.D.
• Caleb E McKinley, DDS
• Karlee McKinney, ATC
• Kris Dale McKinney, D.D.S.
• Amanda Grace McKnelly, CCDCIII
• Kelly N McKnight Purcell, MD
• Rachel McLaughlin, RN

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.