Organization Active NPI

Ken McAfee, DMD, PC

  • General Practice Dentistry
  • Calhoun, GA
National Provider Identifier
1407904196
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11703 Issued in GA
Legal business name
KEN MCAFEE, DMD, PC
Practice address
127 WC Bryant Pkwy Ste a
Calhoun, GA 30701-2654
Phone
(706) 602-9255
Fax
(706) 602-9256
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Ken John McAfee, DMD
Title
Dr
Phone
(706) 602-9255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11703 GA Primary

Addresses

Primary practice location

127 WC Bryant Pkwy Ste a
Calhoun, GA 30701-2654

Mailing address

127 WC Bryant Pkwy Ste a
Calhoun, GA 30701-2654
Phone (706) 602-9255

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1407904196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WC BRYANT PKWY STE A",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012654",
            "telephone_number": "706-602-9255",
            "fax_number": "706-602-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WC BRYANT PKWY STE A",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012654",
            "telephone_number": "706-602-9255",
            "fax_number": "706-602-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEN MCAFEE, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MCAFEE",
        "authorized_official_first_name": "KEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "706-602-9255",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.