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DR. KEON J AHGHAR DDS
NPI 1629497086
Dentist - Oral and Maxillofacial Surgery in Roswell, NM

Active since April 14, 2014PECOS Enrolled
824 N MAIN ST, ROSWELL, NM 88201(575) 622-4455(575) 624-2556 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2024, Mar 7, 2024, Oct 15, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Keon J Ahghar Dds NPPES

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

DR. KEON J AHGHAR DDS (NPI 1629497086) is an individual oral and maxillofacial surgery provider in Roswell, New Mexico, licensed in New Mexico (DD4275) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629497086
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. KEON J AHGHARCredential: DDS
Location Address824 N MAIN STRoswell, NM 88201-4969
Mailing Address824 N Main StRoswell, NM 88201-4969 · (575) 622-4455 · Fax (575) 624-2556
Phone(575) 622-4455
Fax(575) 624-2556
Sole ProprietorNo
Enumeration DateApril 14, 2014
Last NPPES UpdateApril 11, 20244 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1629497086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NM · DD4275
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License DD4275 (NM)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DD4275 (NM)
824 N MAIN ST, Roswell, NM 88201
Open in Google Maps ↗

Other Identifiers 1

Medicaid01350731NM

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keon J Ahghar Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Keon Ahghar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Au Crown Enterprises LLC
Same address
Dental
824 N MAIN ST
Roswell, NM 88201
  • Reassigned Medicare billing, New Mexico enrollment
  • 2 clinicians in this Medicare group
NPI 1437654837 (575) 622-4455

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

KIMIA PAZHOOHAN DMD
Dentist
824 N MAIN ST
ROSWELL, NM 88201
Chaves County (575) 622-4455
AU CROWN ENTERPRISES LLC
Clinic/Center (Dental)
824 N MAIN ST
ROSWELL, NM 88201
Chaves County (575) 622-4455
ANNA GONZALES
Dentist
824 N MAIN ST
ROSWELL, NM 88201
Chaves County (575) 622-4455
SARAH ROSE USHER DMD, MPH
Dentist
824 N MAIN ST
ROSWELL, NM 88201
Chaves County (575) 622-4455

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 Keon Ahghar's NPI number?

The NPI number for Keon Ahghar is 1629497086. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Where is Keon Ahghar located?

Keon Ahghar practices at 824 N Main St, Roswell, NM 88201. The listed phone number is (575) 622-4455.

What is Keon Ahghar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Keon Ahghar enrolled in Medicare?

Yes. Keon Ahghar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keon Ahghar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keon Ahghar reassigns Medicare benefits to Au Crown Enterprises LLC (Roswell, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keon Ahghar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keon Ahghar accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Keon Ahghar 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 Keon Ahghar was last updated on April 11, 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.