Jed D Keener, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10857 Issued in OR

Practice address

200 SW 7TH St
Redmond, OR 97756-2112

Phone

(541) 548-4064

Fax

(541) 923-2355

NPI assigned

Jul 18, 2018

Last updated

Jul 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jed D. Keener DDS LLC

  • General Practice Dentistry
  • Redmond, OR
  • NPI 1407406879
  NPD (past) Authorized official
• Mark S Keener DMD P.C.

  • General Practice Dentistry
  • Redmond, OR
  • NPI 1760748602
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1104302512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562112",
            "telephone_number": "541-548-4064",
            "fax_number": "541-923-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562112",
            "telephone_number": "541-548-4064",
            "fax_number": "541-923-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "JED",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Isabella Kallunki
• Danielle Kathryn Kaplan, LCSW
• Mark William Karwan
• Christopher Patrick Kaufman, PA
• Richard Arlen Keen, CADC-R, PSS
• Shawn Christopher Kelley Jr.
• Kristen Kellogg, PA
• Emily Kelly
• Nicole C Kelly
• Timothy L Kelly, MD

• General Practice Dentistry in Redmond, OR
• Providers in Redmond, OR by specialty
• General Practice Dentistry in Oregon

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