Active NPI
Catherine Brigid MC Kinley, BDENTSC
- Pediatric Dentistry
- San Antonio, TX
National Provider Identifier
1194874818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 19466
- Practice address
- 8221 Fredericksburg Rd
Seville Office Park
San Antonio, TX 78229-3355 - Phone
- (210) 614-3334
- Fax
- (210) 614-3331
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 19466 | TX | Primary |
Addresses
Primary practice location
8221 Fredericksburg Rd
Seville Office Park
San Antonio, TX 78229-3355
Mailing address
9876 Dos Cerros Loop E
Boerne, TX 78006-5100
Phone (830) 981-8978
Other names 1
- Mrs. Catherine Brigid Mahon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1194874818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9876 DOS CERROS LOOP E",
"city": "BOERNE",
"state": "TX",
"postal_code": "780065100",
"telephone_number": "830-981-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 FREDERICKSBURG RD",
"address_2": "SEVILLE OFFICE PARK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293355",
"telephone_number": "210-614-3334",
"fax_number": "210-614-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MC KINLEY",
"first_name": "CATHERINE",
"middle_name": "BRIGID",
"name_prefix": "Dr.",
"credential": "BDENTSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "19466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "MAHON",
"middle_name": "BRIGID",
"prefix": "MRS.",
"credential": "BDENTSC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.