James T. McKown D.D.S., Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

14698 Issued in OH

Legal business name

JAMES T. MCKOWN D.D.S., INC.

Practice address

938 West Main St
Suite 4
Hillsboro, OH 45133-7656

Phone

(937) 393-9913

Fax

(937) 393-3795

NPI assigned

Dec 11, 2012

Organization subpart

No

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

Authorized official

Name

James Thomas McKown, D.D.S.

Title

General Dentist

Phone

(937) 393-9913

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355184000000",
    "number": "1902141351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 WEST MAIN ST",
            "address_2": "SUITE 4",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337656",
            "telephone_number": "937-393-9913",
            "fax_number": "937-393-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 WEST MAIN ST",
            "address_2": "SUITE 4",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451337656",
            "telephone_number": "937-393-9913",
            "fax_number": "937-393-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES T. MCKOWN D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2012-12-11",
        "status": "A",
        "authorized_official_last_name": "MCKOWN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "937-393-9913",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "14698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268624",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; 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.