Individual provider Active NPI

Jonathan Mark Keyes, DDS

  • Dentist
  • New Philadelphia, PA
National Provider Identifier
1851354344
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS020858L Issued in PA
Practice address
Water St Town Square
New Philadelphia, PA 17959-1236
Phone
(570) 277-0350
Fax
(570) 277-0350
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS020858L PA Primary

Addresses

Primary practice location

Water St Town Square
New Philadelphia, PA 17959-1236

Mailing address

27 Clay St
New Philadelphia, PA 17959-1118
Phone (570) 277-0223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151210001166 PA Order and Referring Only - DentistPractitioner - Dentist 3779884085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS020858LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851354344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CLAY ST",
            "city": "NEW PHILADELPHIA",
            "state": "PA",
            "postal_code": "179591118",
            "telephone_number": "570-277-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WATER ST TOWN SQUARE",
            "city": "NEW PHILADELPHIA",
            "state": "PA",
            "postal_code": "179591236",
            "telephone_number": "570-277-0350",
            "fax_number": "570-277-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS020858L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.