NPIMap

Organization Active NPI

Lynn Keener, D.D.S., P.a.

  • Dentist
  • Harrison, AR
National Provider Identifier
1669621405
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2125 Issued in AR
Legal business name
LYNN KEENER, D.D.S., P.A.
Practice address
2105 First National Dr
Harrison, AR 72601-6234
Phone
(870) 741-4868
Fax
(870) 741-1710
NPI assigned
Sep 17, 2008
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Lynn Keener, D.D.S.
Title
Owner
Phone
(870) 741-4868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2125 AR Primary

Addresses

Primary practice location

2105 First National Dr
Harrison, AR 72601-6234

Mailing address

2105 First National Dr
Harrison, AR 72601-6234
Phone (870) 741-4868

National Provider Directory

National Provider Directory

Locations

2105 First National Dr
Harrison, AR 72601
Phone (870) 741-4868

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1669621405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 FIRST NATIONAL DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726016234",
            "telephone_number": "870-741-4868",
            "fax_number": "870-741-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 FIRST NATIONAL DR",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726016234",
            "telephone_number": "870-741-4868",
            "fax_number": "870-741-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN KEENER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "KEENER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-741-4868",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "2125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.