Organization Active NPI

Melissa Kinney, M.D., P.a.

  • Surgery Physician
  • Lewisville, TX
National Provider Identifier
1447647524
Registry record updated Aug 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q2753 Issued in TX
Legal business name
MELISSA KINNEY, M.D., P.A.
Practice address
500 W Main St
Ste 330
Lewisville, TX 75057-3641
Phone
(214) 501-5427
Fax
(214) 501-5429
NPI assigned
Apr 16, 2015
Last updated
Aug 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2015

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

Authorized official

Name
Melissa Kinney, MDNPI 1891938379
Title
President
Phone
(214) 501-5427

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Q2753 TX Primary

Addresses

Primary practice location

500 W Main St
Ste 330
Lewisville, TX 75057-3641

Mailing address

500 W Main St
Ste 330
Lewisville, TX 75057-3641
Phone (214) 501-5427

Other identifiers 1

IdentifierTypeStateIssuer
1891938379OtherTXPROVIDER NPI

National Provider Directory

National Provider Directory

Locations

500 W Main St
Ste 330
Lewisville, TX 75057
Phone (214) 501-5427

3801 W 15th St
Ste 210
Plano, TX 75075
Phone (214) 501-5427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440806400000",
    "number": "1447647524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "STE 330",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573641",
            "telephone_number": "214-501-5427",
            "fax_number": "214-501-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "STE 330",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573641",
            "telephone_number": "214-501-5427",
            "fax_number": "214-501-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA KINNEY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-08-29",
        "status": "A",
        "authorized_official_last_name": "KINNEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-501-5427",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q2753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI",
            "identifier": "1891938379",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2015; 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.