Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427079623 Individual Practitioner Male Practitioner

Dr. Kenneth Patrick Mcinnis , DMD

Dentist - General Practice • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Mcinnis, DMD is a registered healthcare professional specializing in Dentist - General Practice in Beaverton, OR. Practice services are available at 1791 NW 173RD AVE STE 130 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1791 Nw 173rd Ave Ste 130

Beaverton, OR 970065630

Telephone 5036400395

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
91 Specialists

Practicing in Beaverton, OR (1994 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

CMS Verified: 2023-10-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR 6288

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 24, 2023

Registered at 1791 NW 173RD AVE STE 130, BEAVERTON, OR 970065630 (Tel: 5036400395)

📍
Updated Business Mailing Address October 24, 2023

Registered at 1791 NW 173RD AVE STE 130, BEAVERTON, OR 970065630 (Tel: 5036400395)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 518 SE OAK ST, HILLSBORO, OR 971234895 (Tel: 5036400395)

📍
Updated Business Mailing Address July 08, 2007

Registered at 518 SE OAK ST, HILLSBORO, OR 971234895 (Tel: 5036400395)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH MCINNIS, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #6288 in OR)

🟢
Initial NPI Registration & Enumeration July 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kenneth Mcinnis. Be the first to share your experience!

Sign in to leave a review for Dr. Kenneth Mcinnis

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1427079623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2006
Last Update: October 24, 2023
Sole Proprietor: Yes

Mailing Address

1791 Nw 173rd Ave Ste 130

Beaverton, OR 970065630

Phone: 5036400395

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.