Keystone Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KEYSTONE ORTHODONTICS LLC

Practice address

9727 Greenside Dr
Cockeysville, MD 21030-5030

Phone

(410) 667-6404

NPI assigned

Aug 12, 2024

Organization subpart

No

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

Authorized official

Name

Robert Park, DMDNPI 1063611747

Title

Owner

Phone

(302) 299-5617

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Robert D Park, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cockeysville, MD
  • NPI 1063611747
  NPD (past) Authorized official
• Ye Jin Annie An, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lancaster, PA
  • NPI 1942941851
  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1215768254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PEOPLES PLZ",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025701",
            "telephone_number": "302-299-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 GREENSIDE DR",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210305030",
            "telephone_number": "410-667-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16313 Mount Airy Rd",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173611624",
            "country_code": "US",
            "telephone_number": "717-235-6506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEYSTONE ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-299-5617",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rena Bracha Katzman
• Pamela Lynne Kemmerer
• Kerkvliet Counseling Associaites
• Suzan Eileen Kerpetenoglu, LCSW-C
• Katelyn Brooke Kerr, OTD, OTR/L
• Gyeongwon Kim
• Dean Robert Kirschner, PHD LCSWC
• KMH Healthcare Corporation
• Hayoung Koo
• Korangy Radiology Associates, PA

• Orthodontics and Dentofacial Orthopedics Dentistry in Cockeysville, MD
• Providers in Cockeysville, MD by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.