DR. BLAKE CLETE KEEN DDS
NPI 1033920400
Dentist - General Practice in Rancho Cucamonga, CA

Q: What is Blake Keen's NPI number?

The NPI number for Blake Keen is 1033920400. It was assigned to this individual provider in the NPPES registry on January 15, 2025.

Q: What is Blake Keen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Blake Keen was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 15, 2025

9606 BASE LINE RD, RANCHO CUCAMONGA, CA 91701(909) 989-6661(909) 989-6663 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Blake Clete Keen Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BLAKE CLETE KEEN DDS (NPI 1033920400) is an individual general practice provider in Rancho Cucamonga, California, licensed in California (111167) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1033920400

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BLAKE CLETE KEENCredential: DDS

Location Address9606 BASE LINE RDRancho Cucamonga, CA 91701-5035

Mailing AddressPo Box 9137Rancho Cucamonga, CA 91701-1137 · (909) 989-6661 · Fax (909) 989-6663

Phone(909) 989-6661

Fax(909) 989-6663

Sole ProprietorNo

Enumeration DateJanuary 15, 2025

NPPES CertifiedJanuary 15, 2025

✔ NPI 1033920400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 111167

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9606 BASE LINE RD, Rancho Cucamonga, CA 91701

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Keen's NPI number?

The NPI number for Blake Keen is 1033920400. It was assigned to this individual provider in the NPPES registry on January 15, 2025.

Where is Blake Keen located?

Blake Keen practices at 9606 Base Line Rd, Rancho Cucamonga, CA 91701. The listed phone number is (909) 989-6661.

What is Blake Keen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Blake Keen was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.