Active NPI
Katherine A Keeley, M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Henderson, NV
National Provider Identifier
1174570816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 152681
- Practice address
- 2649 Wigwam Pkwy
Suite 102
Henderson, NV 89074-7310 - Phone
- (702) 263-9339
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 152681 | MA | Primary |
Addresses
Primary practice location
2649 Wigwam Pkwy
Suite 102
Henderson, NV 89074-7310
Mailing address
2649 Wigwam Pkwy
#102
Henderson, NV 89074-7310
Phone (702) 263-9339
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152681 | MA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 3530 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Center of Southern Nevada | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1447393152
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1548393127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174570816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2649 WIGWAM PKWY",
"address_2": "#102",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747310",
"telephone_number": "702-263-9339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2649 WIGWAM PKWY",
"address_2": "SUITE 102",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747310",
"telephone_number": "702-263-9339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELEY",
"first_name": "KATHERINE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "MA",
"license": "152681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.