Center for TMJ and Orofacial Disorders, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6470 Issued in KY

Legal business name

CENTER FOR TMJ AND OROFACIAL DISORDERS, PLLC

Practice address

384 N Mayo TRL
Unit B
Pikeville, KY 41501-1493

Phone

(606) 437-7609

NPI assigned

Nov 20, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jill Elizabeth Keaton, DMDNPI 1306024674

Title

Sole Member

Phone

(606) 437-7609

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jill Elizabeth Keaton, DMD

  • Dentist
  • Pikeville, KY
  • NPI 1306024674
  NPD (past) Authorized official
• Andy Paul Keaton, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pikeville, KY
  • NPI 1811039258
  NPD (past)

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1376973818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 989",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 N MAYO TRL",
            "address_2": "UNIT B",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011493",
            "telephone_number": "606-437-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR TMJ AND OROFACIAL DISORDERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "KEATON",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "606-437-7609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KY",
            "license": "6470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysia L. B. Caughron, CRNA
• Whitney Marie Causey
• James Kendall Cecil, O.D.
• Cedar Creek Assisted Living
• Cedar Trace Pharmacy, Inc.
• Central Kentucky Comprehensive Imaging and Diagnostic Services LLC
• Oleandro Antonio Cercio Roa, MD
• Stacy Michelle Chaffins
• Champion Supports & Community Services, Inc
• Champion Supports & Services, Inc

• Dental Clinic/Center in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.