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Export Provider Record NPI 1124556576
Timothy Andrew McclainD.D.S.
Active
NPI Number1124556576
NPI TypeNPI-1 Individual
SpecialtyDentist, Pediatric Dentistry
Provider Details
NPI1124556576
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2017-05-30
Last Updated2020-06-30
Mailing Address105 Spruce St
Lexington, KY 40507-2109
United States
Phone: (859) 533-1109
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Primary Practice Address141 Stonecrest Rd Ste 1
Shelbyville, KY 40065-8165
United States
Phone: (502) 633-4441
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No1223G0001X – Dentist, General PracticeOK6923
Yes1223P0221X – Dentist, Pediatric DentistryKY10410
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About NPI 1124556576

Timothy Andrew Mcclain D.D.S. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124556576. The primary specialty listed is Dentist, Pediatric Dentistry. The provider is located in Shelbyville, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-05-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124556576?

NPI 1124556576 belongs to Timothy Andrew Mcclain D.D.S., a Dentist, Pediatric Dentistry in Shelbyville, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124556576 active?

The current status of NPI 1124556576 in the NPPES registry is Active. The record was last updated on 2020-06-30.

What specialty is NPI 1124556576?

NPI 1124556576 is classified under the taxonomy Dentist, Pediatric Dentistry. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124556576?

You can verify NPI 1124556576 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124556576?

The primary practice address on file for NPI 1124556576 is 141 Stonecrest Rd Ste 1, Shelbyville, KY 40065-8165. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124556576 issued?

NPI 1124556576 was first issued (enumerated) on 2017-05-30. The NPPES record was last updated on 2020-06-30.

Practice Location Map

Timothy Andrew Mcclain is located at 141 Stonecrest Rd Ste 1, Shelbyville, KY. Use the map below to find directions or verify the practice location.

📍 141 Stonecrest Rd Ste 1, Shelbyville, KY 40065-8165  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Timothy Andrew Mcclain. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124556576. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, General Practice6923OK
Dentist, Pediatric Dentistry10410KY
Data Verified from CMS NPPES Last synced: 2026-06-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162