DR. KEVIN T MCNALLY (NPI# 1063564706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063564706 |
| Entity Type | Individual |
| Full Name | DR. KEVIN T MCNALLY |
| Credential | DDS |
| Practice Address |
6804 S Centinela Ave Culver City CA 90230-6301 |
| Practice Telephone | 3109150588 |
| Practice Fax Number | 3109150547 |
| Mailing Telephone | 3109150588 |
| Mailing Fax Number | 3109150547 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
27032 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184272189 | Kevin P Mcnally | Registered Nurse | 2221 Noll Dr Ste 1000, Lancaster, PA 17603-7614 | 2019-09-03 |
| Street Address |
6804 S CENTINELA AVE |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1396119905 | Dan Beroukhim | Dentist | 5432 Sepulveda Blvd Ste A, Culver City, CA 90230-5512 | 2015-11-19 |
| 1316131782 | Pierce La Sierra Dental Group Inc | Dentist | 5427 South Sepulveda Blvd, Suite A, Culver City, CA 90230 | 2007-08-29 |
| 1043412604 | Shawn Rad | Dentist | 5432 Sepulveda Blvd, Culver City, CA 90230-5512 | 2007-06-04 |
| 1578772000 | Tristen Nguyen | Dentist | 4700 Inglewood Blvd Ste 102, Culver City, CA 90230-5896 | 2007-05-22 |
| 1013125194 | John Peter Korbakis | Dentist | 5555 Inglewood Blvd, Suite 102, Culver City, CA 90230-6226 | 2007-05-20 |
| 1396964136 | Edward Dale Cooper | Dentist | 9918 Venice Blvd, Culver City, CA 90232-2719 | 2007-04-24 |
| 1417175928 | Theotokis Kolovos | Dentist | 9914 Venice Blvd, Culver City, CA 90232-2719 | 2007-04-22 |
| 1295950632 | Brent H. Maiden | Dentist | 9920 Venice Blvd, Culver City, CA 90232-2719 | 2007-04-13 |
| 1093846404 | Joshua S. Pressman | Dentist | 4447 Sepulveda Blvd, Culver City, CA 90230-4847 | 2007-03-08 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.