Keyan Botsford, DMD, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D10917 Issued in OR

Practice address

1625 E McAndrews Rd Ste B
Medford, OR 97504-5334

Phone

(541) 779-3003

NPI assigned

Oct 6, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gary J. May, DMD, MSD, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Medford, OR
  • NPI 1629229273
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1003381914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E MCANDREWS RD STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045334",
            "telephone_number": "541-779-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E MCANDREWS RD STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045334",
            "telephone_number": "541-779-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTSFORD",
        "first_name": "KEYAN",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-06",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OR",
            "license": "D10917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Ann Borovac
• Sage Bosch
• Brent Jerrod Bose, MD
• Meghan Bost
• Stephanie Louise Botello
• Cindy Marie Bottasso, DO
• Sarah Katherine Bottomly-Cox
• Janeice K Bouchard
• Jennifer Katharine Boudreaux, MSN, CPNP-PC, PMHS
• Christopher Brice Bouffard, PA-C

• Orthodontics and Dentofacial Orthopedics Dentistry in Medford, OR
• Providers in Medford, OR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.