NPIMap

Organization Active NPI

Michael K McKinney DMD PSC

  • General Practice Dentistry
  • Minnie, KY
National Provider Identifier
1962621359
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6873 Issued in KY
Legal business name
MICHAEL K MCKINNEY DMD PSC
Practice address
JCT RT 680 & Hwy 122
Minnie, KY 41651
Phone
(606) 377-0170
Fax
(606) 377-0179
NPI assigned
Apr 24, 2007
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Dr. Michael Kent McKinney Jr., D.M.D.NPI 1972642734
Title
Owner
Phone
(606) 377-0170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6873 KY Primary

Addresses

Primary practice location

JCT RT 680 & Hwy 122
Minnie, KY 41651

Mailing address

PO Box 60
Minnie, KY 41651-0060
Phone (606) 377-0170

Other identifiers 3

IdentifierTypeStateIssuer
61900163MedicaidKY
60002698MedicaidKY
60068731MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1962621359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "MINNIE",
            "state": "KY",
            "postal_code": "416510060",
            "telephone_number": "606-377-0170",
            "fax_number": "606-377-0179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JCT RT 680 & HWY 122",
            "city": "MINNIE",
            "state": "KY",
            "postal_code": "41651",
            "telephone_number": "606-377-0170",
            "fax_number": "606-377-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K MCKINNEY DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-377-0170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900163",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60002698",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60068731",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnie, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.