Organization Active NPI

Keystone Oral and Maxillofacial Surgery, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensburg, PA
National Provider Identifier
1104466028
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
KEYSTONE ORAL AND MAXILLOFACIAL SURGERY, P.C.
Practice address
560 Rugh St Ste 100
Greensburg, PA 15601-5601
Phone
(878) 295-8322
Fax
(878) 295-8323
NPI assigned
Jan 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Dr. Jeffrey Garcia, DDSNPI 1154683050
Title
President
Phone
(878) 295-8322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

560 Rugh St Ste 100
Greensburg, PA 15601-5601

Mailing address

560 Rugh St Ste 100
Greensburg, PA 15601-5601
Phone (878) 295-8322

National Provider Directory

National Provider Directory

Locations

560 Rugh St
Ste 100
Greensburg, PA 15601
Phone (412) 538-0010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1104466028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 RUGH ST STE 100",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015601",
            "telephone_number": "878-295-8322",
            "fax_number": "878-295-8323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 RUGH ST STE 100",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015601",
            "telephone_number": "878-295-8322",
            "fax_number": "878-295-8323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE ORAL AND MAXILLOFACIAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "878-295-8322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.