Mec Dental II, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010045 Issued in IN

Legal business name

MEC DENTAL II, PC

Practice address

820 E 53Rd St
Anderson, IN 46013-1731

Phone

(317) 491-0188

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kristina D Gray

Title

Office Manager

Phone

(317) 491-0188

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1447447461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13606 CREEKRIDGE LN",
            "city": "MC CORDSVILLE",
            "state": "IN",
            "postal_code": "460559599",
            "telephone_number": "317-491-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E 53RD ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460131731",
            "telephone_number": "317-491-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEC DENTAL II, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-491-0188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "12010045",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethel L McKenzie
• Jaime McKinley
• Jessica McKinney
• Carey Brion McLaughlin, DDS
• Gwynn Meagher, RBT
• Medexpress Urgent Care, PC-Indiana
• Medicab, LLC.
• Medical Specialists of Madison County, PC
• Charlotte June Meeker, CNM
• Courtney Lynne Meeks, RBT

• General Practice Dentistry in Anderson, IN
• Providers in Anderson, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.