Keith Alan Alexander, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56884 Issued in CA

Practice address

30 Lyndon Rd
Fayetteville, NY 13066-1016

Phone

(315) 460-0110

NPI assigned

Mar 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Braces Oasis

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Palm Desert, CA
  • NPI 1417666959

  Orthodontics and Dentofacial Orthopedics

  NPD Authorized official

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1083885685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LYNDON RD",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661016",
            "telephone_number": "315-460-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LYNDON RD",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661016",
            "telephone_number": "315-460-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56884",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "055459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadi Nabil Abdallah, D.M.D.
• Ancy A. Abraham, PH.D.
• Agcny East LLC
• Agcny Physicians PLLC
• Janette S Albrecht, M.D.
• Alexis James Virtual Counseling
• Maureen Ann Aliani, OTR/L
• Mary Lily Allen, M.D.
• Alan Ariel Andrews, PSY.D., DCSW
• Anesthesia Affiliate PC

• General Practice Dentistry in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.