NPIMap

Organization Active NPI

Marcy L. Keown, DMD, PA

  • Pediatric Dentistry
  • Orlando, FL
National Provider Identifier
1013553635
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MARCY L. KEOWN, DMD, PA
Practice address
1549 S Alafaya TRL Ste 200
Orlando, FL 32828-8962
Phone
(407) 482-1405
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Marcy Keown, DMDNPI 1073734372
Title
President
Phone
(352) 281-9101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1549 S Alafaya TRL Ste 200
Orlando, FL 32828-8962

Mailing address

1549 S Alafaya TRL Ste 200
Orlando, FL 32828-8962
Phone (407) 482-1405

National Provider Directory

National Provider Directory

Locations

1549 S Alafaya Trl
Ste 200
Orlando, FL 32828
Phone (407) 482-1405

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1013553635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 S ALAFAYA TRL STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288962",
            "telephone_number": "407-482-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 S ALAFAYA TRL STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288962",
            "telephone_number": "407-482-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCY L. KEOWN, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "KEOWN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-281-9101",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.