Jay Keltner, D.D.D. P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

60068 Issued in KS

Legal business name

JAY KELTNER, D.D.D. P.A.

Doing business as

Dental Associates

Practice address

1133 E Kansas PLZ
Garden City, KS 67846-5870

Phone

(620) 276-7681

Fax

(620) 276-9203

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanine M Biera

Title

Office Manager

Phone

(620) 276-7681

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dental Associates Doing business as

Practitioners 2

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

• Michael Evans, DDS

  • General Practice Dentistry
  • Garden City, KS
  • NPI 1720494982
  NPD (past)
• Corwin Jay Keltner, DDS, PPA

  • Dentist
  • Ogden, UT
  • NPI 1083604599
  NPD (past)

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1225292915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E KANSAS AVE",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465870",
            "telephone_number": "620-276-7681",
            "fax_number": "620-276-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E KANSAS PLZ",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465870",
            "telephone_number": "620-276-7681",
            "fax_number": "620-276-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY KELTNER, D.D.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "BIERA",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-276-7681",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "60068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100392360B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Osama M Ismael, M.D.
• Jumailiana Iwan
• Michael D Jackson, M.D.
• Noreene A Jaeger, ARNP
• Jake M Juhl DDS
• Jeffrey J Stasch
• Joanne D. Rink M.D., L.L.C.
• Matthew E Johannes, OD
• Lanie Rose Johnson, FNP-C
• Jake M. Juhl, DDS

• Dentist in Garden City, KS
• Providers in Garden City, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.