Ryan Keener, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901600425 Issued in MI

Practice address

3350 Grand Ridge Dr NE
Grand Rapids, MI 49525-7071

Phone

(810) 341-3642

NPI assigned

Mar 3, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Grand Ridge Family Dentistry

  • General Practice Dentistry
  • Grand Rapids, MI
  • NPI 1427769934
  NPD Authorized official

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670112000000",
    "number": "1598223166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 GRAND RIDGE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257071",
            "telephone_number": "810-341-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 GRAND RIDGE DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257071",
            "telephone_number": "810-341-3642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8410 Datapoint Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293220",
            "country_code": "US",
            "telephone_number": "210-949-8900",
            "fax_number": "210-949-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENER",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-03",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901600425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Keeling
• Emily Keen, NP
• Lynnette Kaye Keen
• Caolan J Keenan, DO
• Elysha Ann Keener, DNP, FNP-C
• Kristen Zvirbulis Keeter, MSPT
• Anna Marie Kegel, DO
• Emily Kegel
• Julie Michelle Kehdi, DO
• Debra Renfrew Kehr, LMSW

• General Practice Dentistry in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; 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.