James Spain McKenzie, DDS PA

Primary specialty

DentistTaxonomy code 122300000X

License

5562 Issued in NC

Practice address

212 Bramblehill Dr
Fuquay Varina, NC 27526-2377

Phone

(919) 552-1044

Fax

(919) 552-3790

NPI assigned

Jul 18, 2006

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• James S McKenzie DDS PA

  • Dentist
  • Fuquay Varina, NC
  • NPI 1487828307
  NPD (past) Authorized official
• Amyradakis Mann and Associates, DDS PA

  • Dental Clinic/Center
  • Fuquay Varina, NC
  • NPI 1871139923
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750300117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BRAMBLEHILL DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262377",
            "telephone_number": "919-552-1044",
            "fax_number": "919-552-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 BRAMBLEHILL DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262377",
            "telephone_number": "919-552-1044",
            "fax_number": "919-552-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JAMES",
        "middle_name": "SPAIN",
        "credential": "DDS PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "5562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille B McDaniel
• Shermonique McDonald
• Malaya McFadyen
• Sarah McGovern
• Kellye Jane Gist McKendree, M.A., L.P.C.
• Alexandria McKoy
• Erin McLamb, SLP
• Kasi Anne McLamb
• Keith Wayne McLaurin Jr., PHARMD
• Karen Burdette McLeod, LCSWA

• Dentist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Dentist 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.