Corey McKown, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4756 Issued in AR

Practice address

815 W Persimmon St
Rogers, AR 72756-3657

Phone

(479) 636-2291

NPI assigned

Jun 13, 2024

Last updated

Jun 13, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Grant J Fowler D.D.S.

  • General Practice Dentistry
  • Rogers, AR
  • NPI 1689221079
  NPD

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1457194995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W PERSIMMON ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563657",
            "telephone_number": "479-636-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W PERSIMMON ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563657",
            "telephone_number": "479-636-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOWN",
        "first_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Elizabeth Lee McKay, CRNA
• Sunny Amber McKee, M.S., OTR/L
• Amanda Baker McKeigney-Childs, LCSW
• Suzanne McKenna, PHD
• Jason M McKinney, MD
• Meaghan McNulty, MD
• McReynolds Wellness Clinic PLLC
• Anna Mead
• Ellie Quist Meador
• Medexpress Urgent Care Arkansas, P.a. (MedExpress Urgent Care - Rogers, W Walnut St)

• General Practice Dentistry in Rogers, AR
• Providers in Rogers, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.