Keystone Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KEYSTONE DENTISTRY

Practice address

2828 E 96TH St
Indianapolis, IN 46240-3715

Phone

(317) 575-1120

NPI assigned

May 1, 2024

Organization subpart

No

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

Authorized official

Name

Tara Albea

Title

Operations Manager

Phone

(765) 278-9038

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Fraiz, D.M.D.

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1134351091
  NPD (past)
• Wayne T Kinney, D.D.S.

  • Dentist
  • Indianapolis, IN
  • NPI 1326163783
  NPD (past)

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1689421398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 E 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403715",
            "telephone_number": "317-575-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 E 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403715",
            "telephone_number": "317-575-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A",
        "authorized_official_last_name": "ALBEA",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "765-278-9038"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Louise Keys, PA-C
• Kevin Delancey Keys
• Stephany Allison Keys, PSY.D.
• Keystone Cedars
• Keystone Chiropractic LLC
• Keystone Endodontics
• Arjun Khadilkar, MD
• Anu Khadka
• Jasser Khairallah, DO
• Rashid Khairi, MD

• General Practice Dentistry in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.