Active NPI
Keyla Ivette Torres, DMD, MS
- Periodontics
- Columbia, MD
National Provider Identifier
1811126261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 2757
- Practice address
- 6395 Dobbin Rd Ste 208
Columbia, MD 21045-4759 - Phone
- (410) 997-1189
- Fax
- (412) 992-5474
- NPI assigned
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 2757 | PR | Primary |
Addresses
Primary practice location
6395 Dobbin Rd Ste 208
Columbia, MD 21045-4759
Mailing address
6395 Dobbin Rd Ste 208
Columbia, MD 21045-4759
Phone (410) 997-1189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2757 | Other | PR | DENTIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2757 | PR | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Columbia Center for Implants & Periodontics | Periodontics | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Past | Accepting new patients |
Locations
600 N Wolfe St
#266
Baltimore, MD 21287
Phone (410) 502-4340
6395 Dobbin Rd
Ste 208
Columbia, MD 21045
Phone (410) 997-1189
8322 Bellona Ave
Ste 300
Towson, MD 21204
Phone (410) 296-0414
Interoperability endpoints
- ktorres566005@direct.hopkinsmedicine.org
Organizations & group practices 5
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.
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Periodontics
- Columbia, MD
- NPI 1932733896
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Otolaryngology Physician
- Baltimore, MD
- NPI 1922004696
-
- General Practice Dentistry
- Baltimore, MD
- NPI 1033190442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1811126261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6395 DOBBIN RD STE 208",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454759",
"telephone_number": "410-997-1189",
"fax_number": "410-992-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6395 DOBBIN RD STE 208",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210454759",
"telephone_number": "410-997-1189",
"fax_number": "412-992-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "KEYLA",
"middle_name": "IVETTE",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-07",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PR",
"license": "2757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST LICENSE",
"identifier": "2757",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.