Organization Active NPI

McKone Dental Care DDS PA

  • General Practice Dentistry
  • Wayzata, MN
National Provider Identifier
1942214200
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D8146 Issued in MN
Legal business name
MCKONE DENTAL CARE DDS PA
Practice address
109 Bushaway Rd
Suite 300
Wayzata, MN 55391-1945
Phone
(952) 475-0225
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Dr. James Nehl McKone, DDS
Title
President
Phone
(763) 475-9170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D8146 MN Primary

Addresses

Primary practice location

109 Bushaway Rd
Suite 300
Wayzata, MN 55391-1945

Mailing address

109 Bushaway Rd
Suite 300
Wayzata, MN 55391-1945
Phone (952) 475-0225

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1942214200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BUSHAWAY RD",
            "address_2": "SUITE 300",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911945",
            "telephone_number": "952-475-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BUSHAWAY RD",
            "address_2": "SUITE 300",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911945",
            "telephone_number": "952-475-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKONE DENTAL CARE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "MCKONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "NEHL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-475-9170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D8146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.