NPIMap

Organization Active NPI

Mark S Keener DMD P.C.

  • General Practice Dentistry
  • Redmond, OR
National Provider Identifier
1760748602
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6719 Issued in OR
Legal business name
MARK S KEENER DMD P.C.
Practice address
200 SW 7TH St
Redmond, OR 97756-2112
Phone
(541) 548-4064
Fax
(541) 923-2355
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Mark Steven Keener, D.M.D.
Title
Dentist
Phone
(541) 548-4064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D6719 OR Primary

Addresses

Primary practice location

200 SW 7TH St
Redmond, OR 97756-2112

Mailing address

200 SW 7TH St
Redmond, OR 97756-2112
Phone (541) 548-4064

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1760748602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562112",
            "telephone_number": "541-548-4064",
            "fax_number": "541-923-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562112",
            "telephone_number": "541-548-4064",
            "fax_number": "541-923-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S KEENER DMD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "KEENER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-548-4064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.