Organization Active NPI

Justin W. McKinlay DDS, PLLC

Doing business as Urgent Tooth

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1790472819
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JUSTIN W. MCKINLAY DDS, PLLC
Doing business as
Urgent Tooth
Practice address
5400 W Friendly Ave
Greensboro, NC 27410-4210
Phone
(336) 645-9002
Fax
(336) 962-2900
NPI assigned
Apr 19, 2023
Last updated
Apr 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Rachel Weathers, MBA
Title
Office Manager
Phone
(336) 645-9002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5400 W Friendly Ave
Greensboro, NC 27410-4210

Mailing address

5400 W Friendly Ave
Greensboro, NC 27410-4210
Phone (336) 645-9002

Other names 1

  • Urgent Tooth Doing business as

National Provider Directory

National Provider Directory

Locations

5400 W Friendly Ave
Greensboro, NC 27410
Phone (336) 645-9002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1790472819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104210",
            "telephone_number": "336-645-9002",
            "fax_number": "336-962-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W FRIENDLY AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104210",
            "telephone_number": "336-645-9002",
            "fax_number": "336-962-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN W. MCKINLAY DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "WEATHERS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-645-9002",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Tooth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.