Keystone Dental Care, Inc

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

KEYSTONE DENTAL CARE, INC

Practice address

603 Bert St Ste 206
Johnson City, TN 37601-5872

Phone

(423) 232-7919

NPI assigned

Apr 12, 2023

Last updated

Apr 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Caroline Brook Begley, RDA

Title

Practice Administrator

Phone

(423) 461-0798

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1083300222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 BERT ST STE 206",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015872",
            "telephone_number": "423-232-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 BERT ST STE 206",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015872",
            "telephone_number": "423-232-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE DENTAL CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "BEGLEY",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "BROOK",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "423-461-0798",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon D Ketron, DO
• Ginger Y Ketron, LCSW
• Molly Marie Ketron, PHARMD
• Maxwell Key
• Lesley Keyes
• Rachel E Keyt, PA
• Lara Wahib Kfoury, MD
• Saurav Khadka, MBBS
• Melissa Khalil, MD
• Ahmed A. Khan, MD

• Public Health Dentistry in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Public Health Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.