Active NPI
Jim V McKay, D.D.S.
- General Practice Dentistry
- Benbrook, TX
National Provider Identifier
1831150556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9525
- Practice address
- 4200 Bryant Irvin Rd
Suite 109
Benbrook, TX 76109-4287 - Phone
- (817) 731-6386
- Fax
- (817) 763-0534
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9525 | TX | Primary |
Addresses
Primary practice location
4200 Bryant Irvin Rd
Suite 109
Benbrook, TX 76109-4287
Mailing address
4200 Bryant Irvin Rd
Suite 109
Benbrook, TX 76109-4287
Phone (817) 731-6386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9525 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831150556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 BRYANT IRVIN RD",
"address_2": "SUITE 109",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761094287",
"telephone_number": "817-731-6386",
"fax_number": "817-763-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 BRYANT IRVIN RD",
"address_2": "SUITE 109",
"city": "BENBROOK",
"state": "TX",
"postal_code": "761094287",
"telephone_number": "817-731-6386",
"fax_number": "817-763-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "JIM",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "9525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benbrook, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.