Natalie Theresa Keener, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12252 Issued in TN

Practice address

4502 Charlotte Ave
Nashville, TN 37209-3610

Phone

(615) 647-8421

NPI assigned

Jun 29, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sylvan Park Smiles Dentistry, PC

  dba Sylvan Park Smiles Dentistry

  • Dentist
  • Nashville, TN
  • NPI 1831749027
  NPD
• Dentists of Bellevue, PC

  dba Dentists of Bellevue

  • Dentist
  • Nashville, TN
  • NPI 1578089553
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1386321487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 17TH AVE S APT 708",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032782",
            "telephone_number": "571-594-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 CHARLOTTE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093610",
            "telephone_number": "615-647-8421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8131 Sawyer Brown Rd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372211430",
            "country_code": "US",
            "telephone_number": "615-933-1981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENER",
        "first_name": "NATALIE",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Patrick Keenan, PA-C
• Hailey Katherine Keene, ST
• Kelsei Patrice Keene, MD
• Sarah Keene, OTR/L
• Brandon Keener, CRNA
• Sally Anna Keener
• Charlotte Keeney
• Donna Keeney, CRNA
• Katherine Keese
• Sara Alem Kefetew

• Dentist in Nashville, TN
• Providers in Nashville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.