Kim D. Keisner, D.D.S., P.a.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2511 Issued in AR

Legal business name

KIM D. KEISNER, D.D.S., P.A.

Practice address

1493 Forest Hills Blvd
Suite C
Bella Vista, AR 72715-5068

Phone

(479) 855-3313

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kim David Keisner, D.D.S.NPI 1851396980

Title

President

Phone

(479) 855-3313

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kim David Keisner, D.D.S.

  • General Practice Dentistry
  • Bella Vista, AR
  • NPI 1851396980
  NPD (past) Authorized official

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851313746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 FOREST HILLS BLVD",
            "address_2": "SUITE C",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727155068",
            "telephone_number": "479-855-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 FOREST HILLS BLVD",
            "address_2": "SUITE C",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727155068",
            "telephone_number": "479-855-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM D. KEISNER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEISNER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-855-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "2511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Dundon PLLC
• Mary K Kerby, APN
• Jessica Dawn Kessler, PT
• Sydney Alexis Key, ATC
• Bilquis Imtiaz Khot, MD
• Julie Kinder, LCSW
• David Michael Kitchens Jr., RN
• Jessica P Koch
• Brenda Kordik
• KRM Care Solutions, Inc. (Right at Home)

• Dental Clinic/Center in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.