Organization Active NPI

Keelan Dental

  • General Practice Dentistry
  • Butler, PA
National Provider Identifier
1831819994
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KEELAN DENTAL
Practice address
264 New Castle Rd
Butler, PA 16001-2529
Phone
(724) 285-4153
Fax
(724) 283-9724
NPI assigned
Aug 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Elizabeth Renwick
Title
Treatment Coordinator
Phone
(814) 221-0854

Specialties & licenses 1

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

Addresses

Primary practice location

264 New Castle Rd
Butler, PA 16001-2529

Mailing address

264 New Castle Rd
Butler, PA 16001-2529
Phone (724) 285-4153

Other practice location 1

5025 Adair Ave
Valencia, PA 16059
Phone (724) 285-4153

National Provider Directory

National Provider Directory

Locations

264 New Castle Rd
Butler, PA 16001
Phone (724) 283-4153

5025 Adair Ave
Valencia, PA 16059
Phone (724) 285-4153

Practitioners & affiliated clinicians

Practitioners 7

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": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1831819994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 NEW CASTLE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012529",
            "telephone_number": "724-285-4153",
            "fax_number": "724-283-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 NEW CASTLE RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012529",
            "telephone_number": "724-285-4153",
            "fax_number": "724-283-9724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5025 Adair Ave",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "PA",
            "postal_code": "16059",
            "country_code": "US",
            "telephone_number": "724-285-4153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEELAN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "RENWICK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "814-221-0854"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.