Individual provider Active NPI

Benjamin Keyser, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Newton, MA
National Provider Identifier
1194141200
Registry record updated Jun 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN15858973 Issued in MA
Practice address
313 Washington St Ste 403
Newton, MA 02458-1626
Phone
(617) 321-0006
NPI assigned
Mar 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS042637 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN15858973 MA Primary

Addresses

Primary practice location

313 Washington St Ste 403
Newton, MA 02458-1626

Mailing address

313 Washington St Ste 403
Newton, MA 02458-1626
Phone (617) 321-0006

Other practice location 1

401 Township Line Rd Ste C
Elkins Park, PA 19027-2277
Phone (215) 379-3382

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL philadelphia

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 3, 2026 through Apr 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DN15858973MAMDOral and Maxillofacial Surgery (Dentist)
DS042637PAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Nhoms, PLLC Oral and Maxillofacial Surgery CurrentSince Feb 25, 2024 Accepting new patients
Greater Philadelphia Oral Surgery PC CurrentSince Jul 1, 2020 Accepting new patients
Greater Philadelphia Oms LLC Oral and Maxillofacial Surgery PastSince Jul 1, 2020 Accepting new patients

Locations

313 Washington St
Ste 403
Newton, MA 02458
Phone (617) 321-0006

401 Township Line Rd
Ste C
Elkins Park, PA 19027
Phone (215) 379-3382

Interoperability endpoints

  • Direct secure messaging: bkeyser101320@direct.umm.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686355200000",
    "number": "1194141200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WASHINGTON ST STE 403",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581626",
            "telephone_number": "617-321-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WASHINGTON ST STE 403",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581626",
            "telephone_number": "617-321-0006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Township Line Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Elkins Park",
            "state": "PA",
            "postal_code": "190272277",
            "country_code": "US",
            "telephone_number": "215-379-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "BENJAMIN",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2023-06-10",
        "certification_date": "2023-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS042637",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN15858973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "philadelphia",
            "affiliation": "N",
            "address_1": "401 Township Line Rd Ste C",
            "city": "Elkins Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190272277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.