Keystone Health Services, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS17534-L Issued in PA

Legal business name

KEYSTONE HEALTH SERVICES, INC

Practice address

2851 Eastern Blvd
York, PA 17402-2909

Phone

(717) 757-9614

NPI assigned

Feb 14, 2014

Last updated

Feb 14, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Bentivegna, D.M.D.NPI 1205917135

Title

President

Phone

(717) 757-9614

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Cash Bentivegna, D.M.D.

  • General Practice Dentistry
  • York, PA
  • NPI 1205917135
  Authorized official Same address or phone

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1487078218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022909",
            "telephone_number": "717-757-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 EASTERN BLVD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022909",
            "telephone_number": "717-757-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "BENTIVEGNA",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-757-9614",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS17534-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Delos Santos Kessler
• Abigale Ketterman, MS, LAT, ATC, CES
• Megan E Ketterman, BS PHARMD RPH
• Keystone Anesthesia Services, PC
• Keystone Eye Care GRP, LLC
• Keystone Medical Associates
• Keystone Service Systems, Inc
• Keystone Service Systems, Inc
• Keystone Therapy and Trauma Services
• Nahed Khalil

• Dental Clinic/Center in York, PA
• Providers in York, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.