Dr. David McKay, DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D9272 Issued in MN

Legal business name

DR. DAVID MCKAY, DDS LLC

Practice address

4800 Nicollet Ave. S.
Minneapolis, MN 55419

Phone

(612) 822-2176

Fax

(800) 449-0810

NPI assigned

Mar 18, 2009

Last updated

Mar 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David L McKay, DDSNPI 1629189287

Title

Dentist

Phone

(612) 822-2176

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Lloyd McKay, DDS

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1629189287
  NPD (past) Authorized official
• Aditi Kulkarni, BDS, MS

  • Prosthodontics
  • Minneapolis, MN
  • NPI 1912451972
  NPD (past)
• Tara Lynn Regenold, D.D.S.

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1598974198
  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1619118775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 NICOLLET AVE. S.",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55419",
            "telephone_number": "612-822-2176",
            "fax_number": "800-449-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 NICOLLET AVE. S.",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55419",
            "telephone_number": "612-822-2176",
            "fax_number": "800-449-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVID MCKAY, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "612-822-2176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D9272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.