Keilman Dental Clinic PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KEILMAN DENTAL CLINIC PC

Practice address

421 W 9TH St
The Dalles, OR 97058-1401

Phone

(541) 296-1118

NPI assigned

Jun 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark N Keilman, DDSNPI 1144257551

Title

President

Phone

(541) 296-1118

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark N Keilman, DDS

  • General Practice Dentistry
  • The Dalles, OR
  • NPI 1144257551
  NPD (past) Authorized official

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902841331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 9TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581401",
            "telephone_number": "541-296-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 9TH ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581401",
            "telephone_number": "541-296-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEILMAN DENTAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEILMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-296-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102673",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monte Curtis Junker, DDS
• Dionne R Justesen
• Karen Lee Kaatz, LMT
• Dianne Riggs Kaylor, DPT
• Audrey Kearns
• Gregory Leo Keilman, DC
• Mark N Keilman, DDS
• Daniel Joseph Kelly, MD
• Darlene M Kemper, LPC
• Delese Kendrick, CADC, CGAC

• General Practice Dentistry in The Dalles, OR
• Providers in The Dalles, OR by specialty
• General Practice Dentistry in Oregon

• 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.