Individual provider Active NPI

Dana Gelman Keiles, DMD

  • Dentist
  • Yorktown Heights, NY
National Provider Identifier
1285877472
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050594 Issued in NY
Practice address
3505 Hill Blvd
Suite F
Yorktown Heights, NY 10598-1283
Phone
(914) 245-3103
Fax
(914) 245-3216
NPI assigned
Apr 17, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 050594 NY Primary

Addresses

Primary practice location

3505 Hill Blvd
Suite F
Yorktown Heights, NY 10598-1283

Mailing address

3505 Hill Blvd
Suite F
Yorktown Heights, NY 10598-1283
Phone (914) 245-3103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630001704 NY Order and Referring Only - DentistPractitioner - Dentist 8022320399

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
050594NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Westchester Dental Center Dentist Past Accepting new patients
Seth Aaron Keiles DMD and Dana Gelman Keiles DMD PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1285877472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 HILL BLVD",
            "address_2": "SUITE F",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981283",
            "telephone_number": "914-245-3103",
            "fax_number": "914-245-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 HILL BLVD",
            "address_2": "SUITE F",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105981283",
            "telephone_number": "914-245-3103",
            "fax_number": "914-245-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILES",
        "first_name": "DANA",
        "middle_name": "GELMAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown Heights, NY

Sources for this page

Verify at the official NPI Registry.