Susan Marie McKinley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

NC6114 Issued in NC

Practice address

224 S New Hope Rd Ste I
Gastonia, NC 28054-4873

Phone

(704) 867-7116

Fax

(704) 854-9188

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Susan M. McKinley, DDS, PA

  • General Practice Dentistry
  • Gastonia, NC
  • NPI 1538189469
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689697369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S NEW HOPE RD STE I",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544873",
            "telephone_number": "704-867-7116",
            "fax_number": "704-854-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S NEW HOPE RD STE I",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544873",
            "telephone_number": "704-867-7116",
            "fax_number": "704-854-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC6114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7995802",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick William McIntyre, DDS
• Beth Ann McJunkins, LCSWA
• Desiree Monique McKay, CRNA
• Kimberly A. McKenney, FNP-C
• Kilai McKinley
• Bryanna McKinnon, PMHNP-BC
• McKnabb Counseling Solutions PLLC
• Lakeisha Shamone McKnabb, LCMHCS, LCAS, CCS
• Sarah Emily McLamb, LCSW-A
• Katherine McLaurin, PHARMD, BCEMP, CPP

• General Practice Dentistry in Gastonia, NC
• Providers in Gastonia, NC by specialty
• General Practice Dentistry in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.