Ivan Mckinney, DDS
NPI 1720207673 · General Practice Dentistry · Tyler, TX
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivan Mckinney, DDS is a General Practice Dentistry provider in Tyler, TX (NPI 1720207673).
Provider details
- NPI number
- 1720207673
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10724 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2008-06-12
Frequently asked questions
- What is Ivan Mckinney's NPI number?
- Ivan Mckinney's National Provider Identifier (NPI) is 1720207673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivan Mckinney's specialty?
- Ivan Mckinney is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Ivan Mckinney located?
- Ivan Mckinney's practice location on file with NPPES is 3802 Brookside Dr, Tyler, TX 75701-9420.
- What is Ivan Mckinney's phone number?
- The practice phone number listed in the NPPES registry for Ivan Mckinney is (903) 581-0581.
- Does Ivan Mckinney accept Medicare?
- Ivan Mckinney is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivan Mckinney's NPI active?
- Yes — Ivan Mckinney's NPI (1720207673) is active in the NPPES registry as of the last update on 2008-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.