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Deactivated NPI 1073594214 Deactivated / Inactive NPI Male Practitioner

Dr. Dan Richard Mckinney , DDS

Dentist • Clovis, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dan Mckinney has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2005
NPI Deactivation Date November 06, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Dan Mckinney, DDS was a registered Dentist practicing in Clovis, NM. Throughout an active medical career spanning 20 years, Dr. Mckinney provided care at the practice location at 116 W 21ST ST until profile deactivation on 2025-11-06.

Practice Location & Contact Primary Location

Practice Address

116 W 21st St

Clovis, NM 881014364

Telephone 5057634851
Fax 5057690249
Associated Practice Facility / Clinic
🏢 Mark N. Waters, D.d.s, P.c. Facility NPI 1023472313

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
20 Specialists

Practicing in Clovis, NM (630 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM DD822

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Mark Waters , DDS

Dentist - General Practice

NPI 1699789586

Doctor of Dental Surgery

NPI 1912980541

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 06, 2025

Record deactivated on November 06, 2025

NPI Profile Active December 21, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 21, 2011

Registered at 116 W 21ST ST, CLOVIS, NM 881014364 (Tel: 5057634851)

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Updated Business Mailing Address December 21, 2011

Registered at 116 W 21ST ST, CLOVIS, NM 881014364 (Tel: 5057634851)

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Provider Name / Credentials Updated December 21, 2011

Recorded as DAN MCKINNEY, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2011

Dentist (License #DD822 in NM)

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Initial NPI Registration & Enumeration November 07, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073594214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2005
Last Update: December 21, 2011
Deactivation Date: November 06, 2025

Mailing Address

116 W 21st St

Clovis, NM 881014364

Phone: 5057634851

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.