Lance D Keyes DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DE60651466 Issued in WA

Legal business name

LANCE D KEYES DDS

Practice address

32650 State Route 20 Ste E106
Oak Harbor, WA 98277

Phone

(360) 240-9400

Fax

(360) 675-5754

NPI assigned

Jan 16, 2018

Organization subpart

No

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

Authorized official

Name

Kaylla Russell

Title

Admin Assistant

Phone

(360) 672-4168

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1043728827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32650 STATE ROUTE 20 STE E106",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772641",
            "telephone_number": "360-240-9400",
            "fax_number": "360-675-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32650 STATE ROUTE 20 STE E106",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-240-9400",
            "fax_number": "360-675-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE D KEYES DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KAYLLA",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "360-672-4168"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "DE60651466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2073077",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laboratory Corporation of America
• Laboratory Corporation of America
• Lindsey Lambert
• Mark Elliott Lambert, M.D.
• Chelsea K Lancaster
• Taylor Landon, D.D.S.
• Hillary J Laney
• Douglas G Langrock, MD
• Lantz & Associates Counseling, LLC
• Michael Leatherman

• Oral and Maxillofacial Surgery (Dentist) in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.