Modoc Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MODOC FAMILY MEDICINE

Practice address

300 W Central Texas Expy Ste 115
Harker Heights, TX 76548-1888

Phone

(254) 833-8456

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jay McKennaNPI 1386811198

Title

Owner

Phone

(240) 994-0451

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay McKenna, M.D.

  • Family Medicine Physician
  • Harker Heights, TX
  • NPI 1386811198
  NPD Authorized official

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1407128267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CENTRAL TEXAS EXPY STE 115",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481888",
            "telephone_number": "254-833-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CENTRAL TEXAS EXPY STE 115",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481888",
            "telephone_number": "254-833-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODOC FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-994-0451",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindfulness Counseling
• Vernon Mink, PT, DPT
• Mary Ann V Miranda, MD
• Amanda Missel
• Amonica Shanay Mitchell, FNP-C
• Haley Phelps Montanaro, PHARMD
• Alexandrea Montoya, RBT
• Demetric Moore, RBT
• Desiree Moore, CCHW
• Keanna Moore

• Family Medicine Physician in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; 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.