Active NPI
McKenzie D Halsey, DMD
- Dentist
- New Church, VA
National Provider Identifier
1891488581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401418505
- Practice address
- 5219 Lankford Hwy
New Church, VA 23415-3332 - Phone
- (757) 824-5676
- NPI assigned
- May 30, 2023
- Last updated
- Aug 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401418505 | VA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | VA |
Addresses
Primary practice location
5219 Lankford Hwy
New Church, VA 23415-3332
Mailing address
5219 Lankford Hwy
New Church, VA 23415-3332
Phone (757) 824-5676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230926003901 | VA | Order and Referring Only - Dentist | 6002260908 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401418505 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1891488581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5219 LANKFORD HWY",
"city": "NEW CHURCH",
"state": "VA",
"postal_code": "234153332",
"telephone_number": "757-824-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5219 LANKFORD HWY",
"city": "NEW CHURCH",
"state": "VA",
"postal_code": "234153332",
"telephone_number": "757-824-5676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSEY",
"first_name": "MCKENZIE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-30",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401418505",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Church, VA
- Megan Marianne Dorris, PA
- Eastern Shore Rural Health System Incorporated (Atlantic Community Health Center)
- Jennifer Holmes Eaton, CRNP-PEDS
- Susan Watkins Fratanduono, CCC-SLP
- Katherine Louise Hall, CRNP
- Amy W Hartman, RDH
- Christina Hillman, PA-C
- Kenya Holley, DDS
- David Hoshino, MD
- Benzon Hamilton Huynh, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.