KD Mackie DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

14092 Issued in TX

Legal business name

KD MACKIE DDS PLLC

Practice address

1677 River Rd
103
Boerne, TX 78006-2446

Phone

(830) 331-7355

NPI assigned

Dec 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kurt Douglas Mackie, DDSNPI 1396848198

Title

Owner

Phone

(830) 331-7355

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kurt D Mackie, DDS

  • Dentist
  • Boerne, TX
  • NPI 1396848198
  NPD (past) Authorized official

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1740645936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 RIVER RD",
            "address_2": "103",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062446",
            "telephone_number": "830-331-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 RIVER RD",
            "address_2": "103",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062446",
            "telephone_number": "830-331-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KD MACKIE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-331-7355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie N. Kai, O.D.
• Karla N Munoz MD PLLC
• Erika Kathryn Kasch, PHARM.D.
• Daniel Ernest Kasprowicz Jr., P.T., ATC
• Laura Gail Kasprowicz, P.T.
• Amanda Keator, MS, LPC, LCDC
• Jennifer Laureen Kelleher, CPM, LM
• Erika Nicole Kelso, F.N.P.-C.
• Kendall County
• Kendall Implant and Oral Surgery

• Dentist in Boerne, TX
• Providers in Boerne, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.