Amanda N McKane, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.033281 Issued in IL

Practice address

12721 S Harlem Ave
Palos Heights, IL 60463-2178

Phone

(708) 448-9415

NPI assigned

Jun 29, 2021

Sex

Female

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gallegos Dental, PLLC

  • General Practice Dentistry
  • Elmhurst, IL
  • NPI 1609548064
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1497325633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14628 MORNINGSIDE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627411",
            "telephone_number": "708-921-6927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 S HARLEM AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632178",
            "telephone_number": "708-448-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKANE",
        "first_name": "AMANDA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley McDermott
• Joan Marie McElligott, D.O.
• Nicole McGlonn
• Elizabeth Marie McGrail, APRN, PNP-PC
• John Vincent McInerney, D.O.
• Leslie A McKane, DDS
• Richard J McKane, DDS
• Margaret Ann McKeon, L.C.P.C.
• Madeleine McKitrick, M.CL.SC, CCC-SLP
• Nelson McLemore, M.D.

• General Practice Dentistry in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.