T M McKenna Inc

Primary specialty

DentistTaxonomy code 122300000X

License

12263 Issued in MO

Legal business name

T M MCKENNA INC

Practice address

453 Lafayette Center
Manchester, MO 63011-3943

Phone

(636) 394-5215

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Terry Michael McKenna, DDSNPI 1881603926

Title

Owner

Phone

(636) 394-5215

Specialties & licenses 1

Addresses

Other names 1

• T M McKenna DDS PC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry Michael McKenna, DDS

  • Dentist
  • Manchester, MO
  • NPI 1881603926
  NPD (past) Authorized official

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639236185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 LAFAYETTE CENTER",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113943",
            "telephone_number": "636-394-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 LAFAYETTE CENTER",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630113943",
            "telephone_number": "636-394-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T M MCKENNA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-394-5215",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "12263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T M McKenna DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael P Steele, O.D.
• Brian Stefani, PHARM.D.
• Strato3 LLC
• Jessica Street, LCSW
• Ann M Sullivan, LPC
• Rebecca Tate
• Richard Paul Taylor, D.D.S.
• Ryan Frederick Theen, DC, MSN, APRN, FNP-C
• Thomas G.Wehrmeister, DDS, PC
• Laura S Todt-Stockman, PHD

• Dentist in Manchester, MO
• Providers in Manchester, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.