Active NPI
McKay Professional Services PC
- Dental Clinic/Center
- Yakima, WA
National Provider Identifier
1821851338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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 PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- McKay Professional Services PC
- 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.
-
- Dental Clinic/Center
- Centralia, WA
- NPI 1518720036
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.
-
- General Practice Dentistry
- Seattle, WA
- NPI 1619953759
-
- General Practice Dentistry
- Yakima, WA
- NPI 1982779732
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.