McKenna Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.022793 Issued in IL

Legal business name

MCKENNA DENTAL P.C.

Practice address

1055 Rohlwing Rd
Elk Grove Village, IL 60007-3217

Phone

(847) 524-3054

Fax

(847) 524-3054

NPI assigned

Apr 27, 2007

Last updated

Feb 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regina Marie McKenna

Title

Office Administrator

Phone

(847) 524-3054

Specialties & licenses 1

Addresses

Locations

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.

• Thomas Earl McKenna Jr., D.D.S.

  • General Practice Dentistry
  • Elmhurst, IL
  • NPI 1932221066
  NPD
• Robert C Ludemann, DDS

  • General Practice Dentistry
  • Elk Grove Village, IL
  • NPI 1306946058
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1972723138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 ROHLWING RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073217",
            "telephone_number": "847-524-3054",
            "fax_number": "847-524-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ROHLWING RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073217",
            "telephone_number": "847-524-3054",
            "fax_number": "847-524-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNA DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-524-3054"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.022793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Hannah McConville, APRN
• Angie McCulloch
• Joan Marie McDonald
• Katie L McDougall
• Maria McIntire, M.D.
• Erika McKnight
• Thomas A McNally, MD
• John Joseph McNiff
• MCS Dermatology PLLC
• James B McShane, DDS

• General Practice Dentistry in Elk Grove Village, IL
• Providers in Elk Grove Village, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.