Dylan James Keener, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

0401419261 Issued in VA

Practice address

240 Hydraulic Ridge Rd Ste 202
Charlottesville, VA 22901-8130

Phone

(434) 973-6542

Fax

(434) 973-6962

NPI assigned

Jul 31, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Interoperability endpoints

• Direct secure messaging: dkeener684104@direct.healthsystem.virginia.edu

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.

• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250

  Single Specialty

  Medicare reassignment NPD
• Dylan J. Keener, D.M.D., M.S., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlottesville, VA
  • NPI 1962292649
  NPD Authorized official
• William G. Horbaly, D.D.S., M.S., M.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Charlottesville, VA
  • NPI 1700159795
  NPD (past)

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1487086583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HYDRAULIC RIDGE RD STE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018130",
            "telephone_number": "434-973-6542",
            "fax_number": "434-973-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HYDRAULIC RIDGE RD STE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229018130",
            "telephone_number": "434-973-6542",
            "fax_number": "434-973-6962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229088130",
            "country_code": "US",
            "telephone_number": "434-924-1774",
            "fax_number": "434-243-6378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1222 Jefferson Park Ave",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229033410",
            "country_code": "US",
            "telephone_number": "434-924-1774",
            "fax_number": "434-982-6417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENER",
        "first_name": "DYLAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039683",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401419261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Keeley, MD
• Meg Graham Keeley, M.D.
• Stephanie Keeling, MSN, RN, CPNP-PC
• Geoffrey Scott Keenan, M.D.
• Madeleine Elyse Keenan, MD
• Elizabeth Keezer, CMT
• Benjamin Ate Kefas, B. PHARM, MSC, PHD
• Megan Kegley, MED, CCC-SLP
• Melissa Evans Kehl, MD
• Emily Bay Kehr, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.