Kene Mackenzie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60202 Issued in KS

Practice address

1312 W 6TH St
Lawrence, KS 66044-2219

Phone

(785) 841-7297

Fax

(785) 576-1587

NPI assigned

Nov 15, 2006

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Marian Clinic, Inc.

  dba Marian Dental Clinic - SCL Health

  • Community Health Clinic/Center
  • Topeka, KS
  • NPI 1063577922
  NPD
• Atchison Community Health Clinic Inc

  dba ACHC-Topeka

  • Federally Qualified Health Center (FQHC)
  • Topeka, KS
  • NPI 1992543466
  NPD (past)
• Atchison Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atchison, KS
  • NPI 1407108335
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1447322144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442219",
            "telephone_number": "785-841-7297",
            "fax_number": "785-576-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W 6TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442219",
            "telephone_number": "785-841-7297",
            "fax_number": "785-576-1587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3164 SE 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666072204",
            "country_code": "US",
            "telephone_number": "785-233-0956",
            "fax_number": "785-233-5116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1803 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441710",
            "country_code": "US",
            "telephone_number": "785-841-7297",
            "fax_number": "785-576-1587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "KENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200271250A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS DENTAL LICENSE",
            "identifier": "60202",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark D Luttrell, DPT
• Luxottica of America Inc (Target Optical #C4000)
• Michael Lynch Maestas, PH.D.
• Kathryn Elizabeth Lynch, M.D.
• Zijie Ma
• Holly Maddalena
• Jamie Madl, PA-C
• Lawrence M Magee, M.D.
• Maggie Hunsicker DC LLC
• Mahasen T Desilva

• General Practice Dentistry in Lawrence, KS
• Providers in Lawrence, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.