Organization Active NPI

M Jean Kay DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maumee, OH
National Provider Identifier
1467512897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30020999 Issued in OH
Legal business name
M JEAN KAY DDS INC
Practice address
5665 Monclova Road
Maumee, OH 43537-1835
Phone
(419) 893-3376
Fax
(419) 893-0575
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Myung Jean Kay, DDS
Title
DDS
Phone
(419) 893-3376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30020999 OH Primary

Addresses

Primary practice location

5665 Monclova Road
Maumee, OH 43537-1835

Mailing address

5665 Monclova Road
Maumee, OH 43537-1835
Phone (419) 893-3376

Other identifiers 1

IdentifierTypeStateIssuer
2373300OtherBCMH

National Provider Directory

National Provider Directory

Locations

5665 Monclova Rd
Maumee, OH 43537
Phone (419) 893-3376

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467512897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 MONCLOVA ROAD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371835",
            "telephone_number": "419-893-3376",
            "fax_number": "419-893-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 MONCLOVA ROAD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371835",
            "telephone_number": "419-893-3376",
            "fax_number": "419-893-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M JEAN KAY DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "MYUNG",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "419-893-3376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30020999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMH",
            "identifier": "2373300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.