Jesse Mike McKinney, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11799 Issued in TN

Practice address

3481 Poplar Ave
Memphis, TN 38111-4654

Phone

(901) 320-9301

NPI assigned

Jun 18, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1881124261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3481 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114654",
            "telephone_number": "901-320-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114654",
            "telephone_number": "901-320-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JESSE",
        "middle_name": "MIKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-18",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33143",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa McKenzie, M.D.
• Scott McKillop, RPH
• Alexia McKinney, MSW
• April Lagail McKinney, APRN, FNP
• Carolyn P McKinney, B.A.
• Marilyn McKinney, BA
• Michael McKinney
• Pamelia Ann McKinney, MSN APRN BC
• Stevenson McKinney, RKT, CDRS
• Tucker Jacob McKinney

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.