Organization Active NPI

McKay Professional Services PC

  • Dental Clinic/Center
  • Yakima, WA
National Provider Identifier
1821851338
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MCKAY PROFESSIONAL SERVICES PC
Practice address
11 N 11TH Ave Ste 104
Yakima, WA 98902-3085
Phone
(509) 452-7003
NPI assigned
Feb 6, 2024
Organization subpart
Yes
Parent organization
MCKAY PROFESSIONAL SERVICES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Misty Bauer
Title
Rmo
Phone
(904) 412-8078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

11 N 11TH Ave Ste 104
Yakima, WA 98902-3085

Mailing address

901 Boren Ave Ste 1940
Seattle, WA 98104-3500
Phone (425) 985-2004

Other names 1

  • Yakima Valley Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McKay Professional Services PC2 organizations share this tax ID, including this one
Part of
McKay Professional Services PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11 N 11th Ave
Ste 104
Yakima, WA 98902
Phone (509) 452-7003

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1821851338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BOREN AVE STE 1940",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043500",
            "telephone_number": "425-985-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N 11TH AVE STE 104",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023085",
            "telephone_number": "509-452-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKAY PROFESSIONAL SERVICES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCKAY PROFESSIONAL SERVICES PC",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "RMO",
        "authorized_official_telephone_number": "904-412-8078"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yakima Valley Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.