Organization Active NPI

Steven R McKane DDS PC

  • General Practice Dentistry
  • Mount Airy, MD
National Provider Identifier
1831492768
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09724 Issued in MD
Legal business name
STEVEN R MCKANE DDS PC
Practice address
1311 S Main St
Suite 203
Mount Airy, MD 21771-5447
Phone
(301) 829-6550
Fax
(301) 829-3674
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Dr. Steven Raymond McKane, DDS
Title
Officer
Phone
(301) 829-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 09724 MD Primary

Addresses

Primary practice location

1311 S Main St
Suite 203
Mount Airy, MD 21771-5447

Mailing address

1311 S Main St
Suite 203
Mount Airy, MD 21771-5447
Phone (301) 829-6550

Other names 1

  • Damascus Dental of Mt Airy Doing business as

National Provider Directory

National Provider Directory

Locations

1311 S Main St
Ste 203
Mount Airy, MD 21771
Phone (301) 829-6550

Practitioners & affiliated clinicians

Practitioners 1

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1831492768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S MAIN ST",
            "address_2": "SUITE 203",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715447",
            "telephone_number": "301-829-6550",
            "fax_number": "301-829-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S MAIN ST",
            "address_2": "SUITE 203",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715447",
            "telephone_number": "301-829-6550",
            "fax_number": "301-829-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R MCKANE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "MCKANE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "301-829-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "09724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Damascus Dental of Mt Airy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.