Active NPI
Monica McKary, DDS
- General Practice Dentistry
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2022008321
- Practice address
- 200 Portland St
Columbia, MO 65201-6525 - Phone
- (573) 885-6935
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12013595A | IN | |
| General Practice Dentistry | 1223G0001X | 2022008321 | MO | Primary |
Addresses
Primary practice location
200 Portland St
Columbia, MO 65201-6525
Mailing address
5250 Cherokee CT
Carmel, IN 46033-8807
Phone (317) 703-0833
Other practice location 1
1923 Chester Blvd
Richmond, IN 47374-1212
Phone (317) 675-6055
Other practice location 2
13760 Lakeridge Dr
Fishers, IN 46037-7608
Phone (317) 597-0184
Other practice location 3
9885 E 116th St Ste 100
Fishers, IN 46037-9242
Phone (317) 854-6027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220718002196 | MO | Order and Referring Only - Dentist | 4486035755 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12013595A | IN | MD | General Practice Dentistry |
| 2022008321 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M&M Pediatric Dentistry, LLC | Current | Accepting new patients | |
| Hoosier Dental in LLC | Past | Accepting new patients | |
| Yepes DDS LLC | Past | Accepting new patients | |
| Smile Time Kids, LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pediatric Dentistry
- Noblesville, IN
- NPI 1962365627
-
- Dental Clinic/Center
- Indianapolis, IN
- NPI 1639025638
-
- Dental Clinic/Center
- Richmond, IN
- NPI 1417327537
-
- Pediatric Dentistry
- Fishers, IN
- NPI 1962173575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688169600000",
"number": "1568037588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 CHEROKEE CT",
"city": "CARMEL",
"state": "IN",
"postal_code": "460338807",
"telephone_number": "317-703-0833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PORTLAND ST",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652016525",
"telephone_number": "573-885-6935"
}
],
"practiceLocations": [
{
"address_1": "1923 Chester Blvd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "IN",
"postal_code": "473741212",
"country_code": "US",
"telephone_number": "317-675-6055",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13760 Lakeridge Dr",
"address_purpose": "LOCATION",
"city": "Fishers",
"state": "IN",
"postal_code": "460377608",
"country_code": "US",
"telephone_number": "317-597-0184",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9885 E 116th St Ste 100",
"address_purpose": "LOCATION",
"city": "Fishers",
"state": "IN",
"postal_code": "460379242",
"country_code": "US",
"telephone_number": "317-854-6027",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKARY",
"first_name": "MONICA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2023-07-01",
"certification_date": "2023-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12013595A",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2022008321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.