Keith a. Mehner, D.D.S.,P.L.L.C

Primary specialty

DentistTaxonomy code 122300000X

License

6201 Issued in OK

Legal business name

KEITH A. MEHNER, D.D.S.,P.L.L.C

Practice address

403 W. Broadway Ave
McLoud, OK 74851-8266

Phone

(405) 964-2500

Fax

(405) 964-2515

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Keith A Mehner, DDSNPI 1649595869

Title

Owner

Phone

(405) 964-2500

Specialties & licenses 1

Addresses

Other names 1

• McLoud Family Dentistry Doing business as

Locations

Practitioners 1

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

• Keith Allen Mehner, DDS

  • General Practice Dentistry
  • McLoud, OK
  • NPI 1649595869
  NPD (past) Authorized official

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1376947259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W. BROADWAY AVE",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518266",
            "telephone_number": "405-964-2500",
            "fax_number": "405-964-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W. BROADWAY AVE",
            "city": "MCLOUD",
            "state": "OK",
            "postal_code": "748518266",
            "telephone_number": "405-964-2500",
            "fax_number": "405-964-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. MEHNER, D.D.S.,P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "MEHNER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-964-2500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "6201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLoud Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jae W. Choi DDS PLLC
• Jennifer Allen Therapy and Consultation LLC
• Carissa Trinette Jones, RN
• Kathryn Dean Jones, PHARM D
• Annelise Kampschaefer
• Kickapoo Behavioral Health
• Kickapoo Health Center
• Kickapoo Tribal Health Center
• Kickapoo Tribal Health Center
• Kimberly K Hanigar

• All providers in McLoud, OK
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.