Individual provider Active NPI

Monica McKary, DDS

  • General Practice Dentistry
  • Columbia, MO
National Provider Identifier
1568037588
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2022008321 Issued in MO
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

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718002196 MO Order and Referring Only - DentistPractitioner - Dentist 4486035755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12013595AINMDGeneral Practice Dentistry
2022008321MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
M&M Pediatric Dentistry, LLC Current Accepting new patients
Hoosier Dental in LLC Past Accepting new patients
Yepes DDS LLC PastSince Sep 28, 2021 Accepting new patients
Smile Time Kids, LLC PastSince May 1, 2021 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.

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

Verify at the official NPI Registry.