Kevin Gentry Keys, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27099 Issued in TX

Practice address

1900 Avenue G NW
Ste. a
Childress, TX 79201-3310

Phone

(940) 937-0800

Fax

(940) 937-0803

NPI assigned

Jun 23, 2011

Last updated

Jan 22, 2014By the provider in NPPES

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

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1669768107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 AVENUE G NW",
            "address_2": "STE. A",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792013310",
            "telephone_number": "940-937-0800",
            "fax_number": "940-937-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 AVENUE G NW",
            "address_2": "STE. A",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792013310",
            "telephone_number": "940-937-0800",
            "fax_number": "940-937-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "KEVIN",
        "middle_name": "GENTRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Vision, PLLC
• Meagan Orene Jarboe Husband, M.D.
• Peter N Jones, FNP-C
• Cary Shane Keys, PT
• Justin Keys, DPT
• Coby Koehler, DC
• Mincy Mathew
• Stacie Brooke Mathis, LCSW
• Med-Trans Corporation
• Ricky L. Nall, D.C.

• General Practice Dentistry in Childress, TX
• Providers in Childress, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.