Individual provider Active NPI

David Charles McKay, DMD

  • Dentist
  • Dunwoody, GA
National Provider Identifier
1326061227
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011441 Issued in GA
Practice address
1720 Old Spring House LN Ste 315
Dunwoody, GA 30338-6215
Phone
(770) 837-9293
Fax
(770) 837-9243
NPI assigned
Jul 25, 2006
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 011441 GA Primary

Addresses

Primary practice location

1720 Old Spring House LN Ste 315
Dunwoody, GA 30338-6215

Mailing address

6088 Braidwood BND NW
Acworth, GA 30101-8447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914002629 GA Order and Referring Only - DentistPractitioner - Dentist 9830553486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011441GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Dental & Medical Clinic Inc CurrentSince Jan 26, 2025 Accepting new patients

Locations

1720 Old Spring House Ln
Ste 315
Dunwoody, GA 30338
Phone (770) 451-7041

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1326061227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6088 BRAIDWOOD BND NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 OLD SPRING HOUSE LN STE 315",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386215",
            "telephone_number": "770-837-9293",
            "fax_number": "770-837-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "011441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

Verify at the official NPI Registry.