Michael Kent McKinney Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6873 Issued in KY

Practice address

JCT RT. 680 & Hwy 122
Minnie, KY 41651

Phone

(606) 377-0170

Fax

(606) 377-0179

NPI assigned

Feb 6, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael K McKinney DMD PSC

  • General Practice Dentistry
  • Minnie, KY
  • NPI 1962621359
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972642734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "MCKINNEY",
        "first_name": "MICHAEL",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "6873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60068731",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900163",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valeire D Akers, PHARM.D.
• Betsy Layne Primary Care, PLLC (Floyd County Rural Health)
• Betsy Layne Primary Care, PLLC (Floyd County Rural Health)
• Eastern Ky Heatlhcare Center
• McKinney Family Dentistry LLC
• Veronica Dawn McKinney, D.M.D.
• Michael K McKinney DMD PSC
• Kristy Ladawn Moore, RPH
• Parkview Pharmacy
• Parkview Pharmacy

• General Practice Dentistry in Minnie, KY
• Providers in Minnie, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.