Active NPI
Gregory John Keiser, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Morristown, NJ
National Provider Identifier
1306801006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS026629L
- Practice address
- 290 Madison Avenue
Morristown, NJ 07960 - Phone
- (973) 538-5338
- Fax
- (973) 538-5343
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 16833 | NJ | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS026629L | PA | Primary |
Addresses
Primary practice location
290 Madison Avenue
Morristown, NJ 07960
Mailing address
25 Maureen Road
East Hanover, NJ 07936
Phone (973) 515-9404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16833 | NJ | MD | Oral and Maxillofacial Surgery (Dentist) |
| DS026629L | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
| 10984 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1306801006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 MAUREEN ROAD",
"city": "EAST HANOVER",
"state": "NJ",
"postal_code": "07936",
"telephone_number": "973-515-9404",
"fax_number": "973-538-5343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 MADISON AVENUE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "07960",
"telephone_number": "973-538-5338",
"fax_number": "973-538-5343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEISER",
"first_name": "GREGORY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NJ",
"license": "16833",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS026629L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.