Theresa Lynn McKinney, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

D-5457 Issued in ID

Practice address

1525 Bannock Hwy
Pocatello, ID 83204-3509

Phone

(208) 233-2230

NPI assigned

Jul 2, 2007

Sex

Female

Sole proprietor

Yes

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.

• Cedar Hills Family Dentistry

  • General Practice Dentistry
  • Pocatello, ID
  • NPI 1659544427
  NPD (past)

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1285831123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9272 W CHARLOTTE DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832047210",
            "telephone_number": "208-852-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BANNOCK HWY",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043509",
            "telephone_number": "208-233-2230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9272 W Charlotte Dr",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832047210",
            "country_code": "US",
            "telephone_number": "208-852-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-5457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance W McKay, P.A.-C
• McKee Idaho Dental
• Seren Jenny McKee, TSLP
• Elizabeth Victoria McKenna
• Matthew L McKinlay, PA-C
• Maja Page McKnight, M.T.
• Holly C McLain, LCSW
• Jeffrey T McMinn, D.M.D.
• Robert Glenn McMinn, DDS MSD
• Vanessa McNabb

• Dentist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.