Ray N McKinley DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D10907 Issued in MI

Legal business name

RAY N MCKINLEY DDS PC

Practice address

45665 Village Blvd
Shelby TWP, MI 48315-6068

Phone

(586) 685-0880

Fax

(586) 685-0885

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ray Nelson McKinley, DDS

Title

President

Phone

(586) 685-0880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1578814844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45665 VILLAGE BLVD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483156068",
            "telephone_number": "586-685-0880",
            "fax_number": "586-685-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45665 VILLAGE BLVD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483156068",
            "telephone_number": "586-685-0880",
            "fax_number": "586-685-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY N MCKINLEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-685-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "D10907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1730211939",
            "identifier": "TYPE 1 NPI",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R.J. Picard, D.C., P.C.
• Mark Roger Raffin
• Anas Rahimo, DDS
• Michael Rais, RPH
• Jimesh J Raval, PHARMD
• Karam Razooq, PHARMD
• RDS Detroit Inc
• Rea Counseling Services, PC
• Richa Redhu Gehlaut, M.D
• Carter Reid, PT, DPT

• Dental Clinic/Center in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.