Active NPI
Karyn Elaine McKinney, DMD
- Dentist
- Fort Sam Houston, TX
National Provider Identifier
1306948914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS030864L
- Practice address
- 2931 Harney Path
Fort Sam Houston, TX 78234-7674 - Phone
- (210) 808-1109
- NPI assigned
- Sep 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19989 | MA | |
| Dentist | 122300000X | DS030864L | PA | Primary |
Addresses
Primary practice location
2931 Harney Path
Fort Sam Houston, TX 78234-7674
Mailing address
359 Medical Group
221 Third Street West
Jbsa-Randolph, TX 78150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030864 | Other | PA | US AIR FORCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19989 | MA | MD | Dentist |
| DS030864L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1306948914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "359 MEDICAL GROUP",
"address_2": "221 THIRD STREET WEST",
"city": "JBSA-RANDOLPH",
"state": "TX",
"postal_code": "78150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2931 HARNEY PATH",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782347674",
"telephone_number": "210-808-1109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNEY",
"first_name": "KARYN",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-03",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "19989",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS030864L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US AIR FORCE",
"identifier": "030864",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.