Individual provider Active NPI

Daniel C McKinney, MD

  • Pediatrics Physician
  • Branson, MO
National Provider Identifier
1316981566
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R2C46 Issued in MO
Practice address
115 Business Park Dr
Suite a
Branson, MO 65616-7426
Phone
(417) 339-7337
Fax
(417) 339-7345
NPI assigned
Jun 16, 2006
Last updated
Feb 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R2C46 MO Primary

Addresses

Primary practice location

115 Business Park Dr
Suite a
Branson, MO 65616-7426

Mailing address

115 Business Park Dr
Suite a
Branson, MO 65616-7426
Phone (417) 339-7337

Other identifiers 4

IdentifierTypeStateIssuer
12952OtherBCBS
2400OtherCOX HEALTH SYSTEMS
223879OtherHEALTHLINK
201878667MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220728000667 MO Practitioner - Pediatric Medicine 9830322189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Springfield Communities CurrentSince Jun 1, 2022 Accepting new patients

Locations

120 Hospital Dr
Ste 300350
Lebanon, MO 65536
Phone (417) 533-6746

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1316981566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BUSINESS PARK DR",
            "address_2": "SUITE A",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167426",
            "telephone_number": "417-339-7337",
            "fax_number": "417-339-7345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BUSINESS PARK DR",
            "address_2": "SUITE A",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167426",
            "telephone_number": "417-339-7337",
            "fax_number": "417-339-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R2C46",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12952",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COX HEALTH SYSTEMS",
            "identifier": "2400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "223879",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201878667",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

Verify at the official NPI Registry.