Kris Dale McKinney, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M867 Issued in SD

Practice address

5121 S Solberg Ave
Suite 120
Sioux Falls, SD 57108-2220

Phone

(605) 339-2955

Fax

(605) 373-0235

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 9, 2021 through Nov 9, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great Plains Dental

  • General Practice Dentistry
  • Sioux Falls, SD
  • NPI 1477748275
  NPD (past) Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669518296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 S SOLBERG AVE",
            "address_2": "SUITE 120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082220",
            "telephone_number": "605-339-2955",
            "fax_number": "605-373-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 S SOLBERG AVE",
            "address_2": "SUITE 120",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571082220",
            "telephone_number": "605-339-2955",
            "fax_number": "605-373-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "KRIS",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie McKinley
• Benjamin James McKinley, M.D.
• Caleb E McKinley, DDS
• Ethan William McKinney
• Karlee McKinney, ATC
• Amanda Grace McKnelly, CCDCIII
• Kelly N McKnight Purcell, MD
• Rachel McLaughlin, RN
• Michael Paul McLaury, PA
• Alyssa Marjorie McLellan, MS, RD, LD

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.