Active NPI
Dennis Peter McKeon, R.N.
- Psychiatric/Mental Health Registered Nurse
- Midland, NC
National Provider Identifier
1942518477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 219036
- Practice address
- 4293 Highway 24 27 E Ste D
Midland, NC 28107-8500 - Phone
- (704) 888-2380
- NPI assigned
- Sep 17, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Midland, NC
- NPI 1023139201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219036 | NC | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mental Health Association in North Carolina, Inc. | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 219036 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4293 Highway 24 27 E Ste D
Midland, NC 28107-8500
Mailing address
9601 Ashton Manor Way
Waxhaw, NC 28173-7874
Phone (704) 256-4467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2010.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284681600000",
"number": "1942518477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9601 ASHTON MANOR WAY",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281737874",
"telephone_number": "704-256-4467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4293 HIGHWAY 24 27 E STE D",
"city": "MIDLAND",
"state": "NC",
"postal_code": "281078500",
"telephone_number": "704-888-2380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEON",
"first_name": "DENNIS",
"middle_name": "PETER",
"name_prefix": "Mr.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-17",
"last_updated": "2010-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NC",
"license": "219036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.