ETHAN WILLIAM MCKINNEY
NPI 1174416457
Dentist - General Practice in Sioux Falls, SD
About Ethan William Mckinney NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN WILLIAM MCKINNEY (NPI 1174416457) is an individual general practice provider in Sioux Falls, South Dakota, licensed in South Dakota (1223G0001X) and active in the NPI registry since June 2025. He has opted out of Medicare through September 11, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ethan William Mckinney has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 11, 2025 through September 11, 2027.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Mckinney's NPI number?
The NPI number for Ethan Mckinney is 1174416457. It was assigned to this individual provider in the NPPES registry on June 3, 2025.
Where is Ethan Mckinney located?
Ethan Mckinney practices at 5121 S Solberg Ave Ste 120, Sioux Falls, SD 57108. The listed phone number is (605) 339-2955.
What is Ethan Mckinney's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Ethan Mckinney enrolled in Medicare?
No. Ethan Mckinney has opted out of Medicare through September 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ethan Mckinney was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
