Active NPI
Nicole Diane McKown, D.D.S.
- Dental Anesthesiology
- Taunton, MA
National Provider Identifier
1598027989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- DN18557245
- Practice address
- 104 Dean St Ste 103
Taunton, MA 02780-5403 - Phone
- (508) 692-9548
- NPI assigned
- Jun 12, 2012
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dental Anesthesiology | 1223D0004X | DN18557245 | MA | Primary |
Addresses
Primary practice location
104 Dean St Ste 103
Taunton, MA 02780-5403
Mailing address
104 Dean St Ste 103
Taunton, MA 02780-5403
Phone (508) 692-9548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18557245 | MA | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Dental Anesthesia Associates, PLLC | Past | Accepting new patients | |
| Oral Surgery Plus, LLC | Dental Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- nmckown240743@direct.bostonchildrens.org
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Taunton, MA
- NPI 1174948574
-
- Dental Anesthesiology
- Taunton, MA
- NPI 1124357520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1598027989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 DEAN ST STE 103",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027805403",
"telephone_number": "508-692-9548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 DEAN ST STE 103",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027805403",
"telephone_number": "508-692-9548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKOWN",
"first_name": "NICOLE",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "MA",
"license": "DN18557245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.