Keith Gjebre, DMD LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS023867L Issued in PA

Practice address

510 Pellis Road
Suite 102
Greensburg, PA 15601

Phone

(724) 832-2255

Fax

(724) 832-9456

NPI assigned

Nov 1, 2006

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

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.

• Keith Gjebre DMD LLC

  • Pediatric Dentistry
  • Greensburg, PA
  • NPI 1487732913
  NPD (past) Authorized official
• Dhaduk Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Greensburg, PA
  • NPI 1235815705
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740368273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 PELLIS ROAD",
            "address_2": "SUITE 102",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-832-2255",
            "fax_number": "724-832-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PELLIS ROAD",
            "address_2": "SUITE 102",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-832-2255",
            "fax_number": "724-832-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GJEBRE",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "DMD LLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS023867L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Gillen, DMD, MS
• Stacy S Gillespie, DO
• Jeannine Gillett
• Claudia Violet Gilmore, MOT OTR/L
• Jennifer Rae Gismondi, LPC
• Stuart A Glasser, MD
• Lisa J Glessner, LCSW
• Jennifer Adele Glunt, LCSW
• Brian Goetz, PHARMD
• Shyam Vijay Gohel, MD

• Pediatric Dentistry in Greensburg, PA
• Providers in Greensburg, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.