McKinley Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MCKINLEY FAMILY DENTAL

Practice address

13432 McKinley Hwy
Mishawaka, IN 46545-7447

Phone

(574) 232-2992

NPI assigned

Jan 5, 2021

Last updated

Jan 6, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Weber

Title

Office Administrator

Phone

(574) 232-2992

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Conroy, DDS

  • General Practice Dentistry
  • South Bend, IN
  • NPI 1437834413
  NPD (past)

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1326636432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13432 MCKINLEY HWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457447",
            "telephone_number": "574-232-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13432 MCKINLEY HWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465457447",
            "telephone_number": "574-232-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINLEY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "574-232-2992"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn McDonald, CNM
• Wanda Ann McFadden, LCSW
• Tianna McGee
• Mark Jay McGillem, M.D.
• Brooke J McIntyre, MA, LMHC
• McKinley Medical Clinmic
• Melissa Rose McKinney
• Joyce M McMahon Palmateer, FNP
• Tamara Ann McNally, CNM
• Medical Service Company (MSC Sleep South Bend)

• Dental Clinic/Center in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.