Marcy Lynn Keown, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN17921 Issued in FL

Practice address

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

Phone

(407) 482-1405

Fax

(407) 482-1408

NPI assigned

May 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Marcy L. Keown, DMD, PA

  • Pediatric Dentistry
  • Orlando, FL
  • NPI 1013553635
  NPD (past) Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1073734372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 S ALAFAYA TRL",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288962",
            "telephone_number": "407-482-1405",
            "fax_number": "407-482-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 S ALAFAYA TRL",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288962",
            "telephone_number": "407-482-1405",
            "fax_number": "407-482-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOWN",
        "first_name": "MARCY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN17921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001356800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Elizabeth Kent, LMT
• Jacqueline Dione Kenton, PMHNP-BC
• Ethan M Kenyon, RBT
• Michael George Keotahlian, D.C
• Lisa M Keough, OTR/L
• Brittany Kepler
• Angela Keppol
• Carolina Serrao Kerber
• Steven J Kerbs, DPT
• Miltiadis Kerdemelidis, M.D.

• Pediatric Dentistry in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.