Individual provider Active NPI

Keith D Van Horn, DDS

  • General Practice Dentistry
  • Lawrence, KS
National Provider Identifier
1033178256
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60341 Issued in KS
Practice address
2210 Yale Rd
Lawrence, KS 66049-2647
Phone
(785) 842-0705
Fax
(785) 865-2324
NPI assigned
Mar 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 60341 KS Primary

Addresses

Primary practice location

2210 Yale Rd
Lawrence, KS 66049-2647

Mailing address

2210 Yale Rd
Lawrence, KS 66049-2647
Phone (785) 842-0705

Other identifiers 1

IdentifierTypeStateIssuer
0000116889OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60341KSMDGeneral Practice Dentistry

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1033178256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 YALE RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492647",
            "telephone_number": "785-842-0705",
            "fax_number": "785-865-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 YALE RD",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660492647",
            "telephone_number": "785-842-0705",
            "fax_number": "785-865-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HORN",
        "first_name": "KEITH",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000116889",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.