Katie L Macken DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KATIE L MACKEN DDS LLC

Doing business as

Orchard Grove Family Dentistry

Practice address

1550 N Dobys Bridge Rd Ste 101
Fort Mill, SC 29715-7626

Phone

(980) 999-0435

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By 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. Katie Lauren Macken, DDSNPI 1033346424

Title

Dentist/Owner

Phone

(980) 999-0435

Specialties & licenses 1

Addresses

Other names 1

• Orchard Grove Family Dentistry Doing business as

Locations

Practitioners 1

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.

• Katie Lauren Macken, DDS

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1033346424
  NPD Authorized official

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1619549540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 COVE POINT DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282786944",
            "telephone_number": "410-303-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N DOBYS BRIDGE RD STE 101",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157626",
            "telephone_number": "980-999-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE L MACKEN DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "MACKEN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "980-999-0435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Grove Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaof Sports Therapeutic Guidance Group LLC
• Ashlene Teresa Karasch, NP
• Mahmoud Karimipour, D.M.D.
• Emma Cosette Kasbo, RBT
• Jennifer Marie Kasik, DC, MS
• Dana Marie Katulak, AUD
• Kaycee Hair
• Laura Kearns, RBT
• Nicole C Keeter, PA-C
• Alaina Kemp

• Dental Clinic/Center in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.