Active NPI
Timothy McKinley
- Dentist
- Leland, NC
National Provider Identifier
1407470578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11798
- Practice address
- 3572 Leland Town Center Dr Ste 140
Leland, NC 28451-0680 - Phone
- (910) 777-5759
- NPI assigned
- Jun 3, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 11798 | NC | Primary |
Addresses
Primary practice location
3572 Leland Town Center Dr Ste 140
Leland, NC 28451-0680
Mailing address
3572 Leland Town Center Dr Ste 140
Leland, NC 28451-0680
Phone (910) 777-5759
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K. Jasinski, D.M.D., P.C. | Current | Accepting new patients |
Locations
3572 Leland Town Center Dr
Ste 140
Leland, NC 28451
Phone (910) 777-5759
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Leland, NC
- NPI 1548880115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1407470578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3572 LELAND TOWN CENTER DR STE 140",
"city": "LELAND",
"state": "NC",
"postal_code": "284510680",
"telephone_number": "910-777-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3572 LELAND TOWN CENTER DR STE 140",
"city": "LELAND",
"state": "NC",
"postal_code": "284510680",
"telephone_number": "910-777-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINLEY",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-03",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "11798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leland, NC
- Matthew C Miller Dba Cornelius Christian Counseling
- Abbey Jones McClanahan, DPT
- Catrecia McCoy Bowman
- Christopher McKechnie, DC
- Christopher Mark McKinley, MPAS, PA-C
- Mercedes Wilkins McLaughlin, LCSW
- Robert Michael Meadows, PA-C
- Medical Associate Services, P.C.
- Medical Associate Services, P.C.
- Emily Meissner
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.