Organization Active NPI

Chris McKinney DDS Dental Corporation

  • Dentist
  • Poway, CA
National Provider Identifier
1194089284
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
53013 Issued in CA
Legal business name
CHRIS MCKINNEY DDS DENTAL CORPORATION
Practice address
15525 Pomerado Rd Ste C6
Poway, CA 92064-2426
Phone
(858) 485-6600
Fax
(858) 673-5546
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chris A McKinney, DDS
Title
Owner
Phone
(858) 485-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 53013 CA Primary

Addresses

Primary practice location

15525 Pomerado Rd Ste C6
Poway, CA 92064-2426

Mailing address

15525 Pomerado Rd Ste C6
Poway, CA 92064-2426
Phone (858) 485-6600

Other names 1

  • McKinney Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

15525 Pomerado Rd
Ste C6
Poway, CA 92064
Phone (858) 485-6600

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1194089284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD STE C6",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642426",
            "telephone_number": "858-485-6600",
            "fax_number": "858-673-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15525 POMERADO RD STE C6",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642426",
            "telephone_number": "858-485-6600",
            "fax_number": "858-673-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS MCKINNEY DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-485-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "53013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKinney Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.