Active NPI
Ronald John Kehl, DDS
- Dentist
- Redway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3629539922
- Practice address
- 101 West Coast Rd
Redway, CA 95560 - Phone
- (707) 923-2783
- NPI assigned
- Sep 24, 2009
- Last updated
- Mar 5, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105921 | CA | |
| Dentist | 122300000X | 3629539922 | UT | Primary |
Addresses
Primary practice location
101 West Coast Rd
Redway, CA 95560
Mailing address
PO Box 769
Redway, CA 95560-0769
Phone (707) 923-2783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Oklahoma College of Dentistry, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 939
Angels Camp, CA 95222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105921 | CA | MD | Dentist |
| 3629539922 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M a C T Health Board Incorporated | Current | Accepting new patients | |
| M a C T Health Board Incorporated | Current | Accepting new patients | |
| County of Duchesne | Current | Accepting new patients | |
| Duchesne County | Current | Accepting new patients |
Locations
19177 State Highway 120
Groveland, CA 95321
Phone (209) 754-6262
12150 New York Ranch Rd
Jackson, CA 95642
Phone (209) 257-2400
13975 Mono Way
Ste I
Sonora, CA 95370
Phone (209) 533-9603
Interoperability endpoints
- rkehl677367@direct.ochin.org
- ronald.kehl.p1@direct.rrhc.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- San Andreas, CA
- NPI 1366519431
TX
-
dba MACT Medical Sonora
- Federally Qualified Health Center (FQHC)
- Sonora, CA
- NPI 1467444364
-
- Skilled Nursing Facility
- Roosevelt, UT
- NPI 1629189634
-
dba Uintah Basin Long Term Care and Senior Villa
- Skilled Nursing Facility
- Roosevelt, UT
- NPI 1942626015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1740514645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 769",
"city": "REDWAY",
"state": "CA",
"postal_code": "955600769",
"telephone_number": "707-923-2783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WEST COAST RD",
"city": "REDWAY",
"state": "CA",
"postal_code": "95560",
"telephone_number": "707-923-2783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEHL",
"first_name": "RONALD",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-24",
"last_updated": "2021-03-05",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "105921",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "3629539922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.