Active NPI
Brad Keener, DDS
- Dentist
- Harrison, AR
National Provider Identifier
1679910400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3922
- Practice address
- 2105 First National Dr
Harrison, AR 72601-6234 - Phone
- (870) 741-4868
- Fax
- (870) 715-9423
- NPI assigned
- Jun 3, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3922 | AR | Primary |
Addresses
Primary practice location
2105 First National Dr
Harrison, AR 72601-6234
Mailing address
2105 First National Dr
Harrison, AR 72601-6234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3922 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keener Dentistry PLLC | Dentist | Past | Accepting new patients |
| Lynn Keener, D.D.S., P.a. | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Harrison, AR
- NPI 1215327572
-
- Dentist
- Harrison, AR
- NPI 1669621405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1679910400",
"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"
},
{
"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": "870-715-9423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENER",
"first_name": "BRAD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-03",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AR",
"license": "3922",
"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 Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.