Active NPI
Kristina Mackie, DDS
- General Practice Dentistry
- Flower Mound, TX
National Provider Identifier
1346372307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23073
- Practice address
- 2240 Cross Timbers Rd
Suite 100
Flower Mound, TX 75028-2752 - Phone
- (972) 355-8500
- NPI assigned
- Mar 12, 2007
- Last updated
- Apr 2, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23073 | TX | Primary |
Addresses
Primary practice location
2240 Cross Timbers Rd
Suite 100
Flower Mound, TX 75028-2752
Mailing address
650 International Pkwy Ste 100
Richardson, TX 75081-6613
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 |
|---|---|---|---|
| 23073 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Timbers Dental, PC | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Flower Mound, TX
- NPI 1285868166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238630400000",
"number": "1346372307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 INTERNATIONAL PKWY STE 100",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750816613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 CROSS TIMBERS RD",
"address_2": "SUITE 100",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750282752",
"telephone_number": "972-355-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKIE",
"first_name": "KRISTINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2009-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "23073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flower Mound, TX
- Lumincare Physician Group, PA
- Amy Stover Lungren, M.D.
- Luxottica of America Inc. (Lenscrafters #7033)
- Luxottica of America Inc. (Target Optical #2079)
- Molly Ruth Machemehl, MA LSSP
- Mark Lane Madenwald, MD
- Naga Sai Venkata Hanumantha Rao Madhavapeddi, M.D
- Kamryn Madkins
- Smridhi Mahajan, MD
- Grace Mahan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.