Keystone Medical Wellness Eastmark

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

KEYSTONE MEDICAL WELLNESS EASTMARK

Practice address

10706 E Point Twenty Two Blvd Ste 106
Mesa, AZ 85212-7200

Phone

(480) 485-9677

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad Dance, FNPNPI 1700130028

Title

Cheif Medical Officer/FNP

Phone

(480) 485-9677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chad Carter Dance, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
  • NPI 1700130028
  NPD (past) Authorized official

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1285531228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 E POINT TWENTY TWO BLVD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852127200",
            "telephone_number": "480-485-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 E POINT TWENTY TWO BLVD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852127200",
            "telephone_number": "480-485-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE MEDICAL WELLNESS EASTMARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "DANCE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CHEIF MEDICAL OFFICER/FNP",
        "authorized_official_telephone_number": "480-485-9677",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin S Olin PLLC
• Kevin Warren
• Clayton Keye, PMHNP
• Tonya Lorraine Keyes-Christianson, MA, RD
• Keegan Keyes
• Keystone Natural Family Medicine
• Jordan Keziah
• Khakwani and Mohammad Medical PC (PDS Medical Group Superstition)
• Khakwani and Mohammad Medical PC (PDS Medical Group Ellsworth)
• Sameeha Khalid, DO

• Adult Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.