Charley Kennon McLean, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11835 Issued in TX

Practice address

1001 Avenue K
Brownwood, TX 76801-4531

Phone

(325) 643-2551

Fax

(325) 643-2552

NPI assigned

May 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 25, 2016 through Jan 25, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brownwood TX Dental PLLC

  dba Apple Dentistry

  • Dental Clinic/Center
  • Brownwood, TX
  • NPI 1104581412
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548471220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENUE K",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768014531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVENUE K",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768014531",
            "telephone_number": "325-643-2551",
            "fax_number": "325-643-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "CHARLEY",
        "middle_name": "KENNON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christi McCarty
• Glenn Rex McClellan, PAC
• Steven Harry McCrane, PT
• Tammy P. McCullough, FNP-C
• Henry Wilcox McGowen II, M.D.
• Amber Elizabeth McMillian, CCC-SLP
• Michael F. Neel, M.D., PA
• Michael S Heinrich, MD PA
• Mid-Texas Council on Alcohol and Drug Abuse
• Midway Family Planning Services, Inc

• General Practice Dentistry in Brownwood, TX
• Providers in Brownwood, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.