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DR. KANYON R. KEENEY DDS
NPI 1043271935
Oral & Maxillofacial Surgery in Henrico, VA

Active since March 30, 2006Opted out of Medicare · through Jan 1, 2028
130 TOWNE CENTER WEST BOULEVARD, HENRICO, VA 23233(804) 270-5028(804) 747-3599 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kanyon R. Keeney Dds NPPES

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

DR. KANYON R. KEENEY DDS (NPI 1043271935) is an individual oral & maxillofacial surgery provider in Henrico, Virginia, licensed in Virginia (0438000164) and active in the NPI registry since March 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043271935
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. KANYON R. KEENEYCredential: DDS
Location Address130 TOWNE CENTER WEST BOULEVARDHenrico, VA 23233-2323
Mailing Address11545-a Nuckols RoadGlen Allen, VA 23059 · (804) 673-8061 · Fax (804) 673-5644
Phone(804) 270-5028
Fax(804) 747-3599
Sole ProprietorNo
Enumeration DateMarch 30, 2006
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1043271935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in VA · 0438000164
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 0401006889 (VA)
130 TOWNE CENTER WEST BOULEVARD, Henrico, VA 23233
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kanyon R. Keeney Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NEIL AGNIHOTRI DMD, MD
Oral & Maxillofacial Surgery
130 TOWNE CENTER WEST BOULEVARD
HENRICO, VA 23233
Henrico County (804) 270-5028
DR. WILLIAM D. DYMON DDS
Oral & Maxillofacial Surgery
130 TOWNE CENTER WEST BOULEVARD
HENRICO, VA 23233
Henrico County (804) 270-5028
NIAMTU & ALEXANDER ORAL & MAXILLOFACIAL SURGERY PC
Oral & Maxillofacial Surgery
130 TOWNE CENTER WEST BOULEVARD
HENRICO, VA 23233
Henrico County (804) 270-5028

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 Kanyon Keeney's NPI number?

The NPI number for Kanyon Keeney is 1043271935. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Kanyon Keeney located?

Kanyon Keeney practices at 130 Towne Center West Boulevard, Henrico, VA 23233. The listed phone number is (804) 270-5028.

What is Kanyon Keeney's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Kanyon Keeney enrolled in Medicare?

No. Kanyon Keeney has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Kanyon Keeney accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Kanyon Keeney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kanyon Keeney was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.