Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609139963 Individual Practitioner Male Practitioner

Dr. Jason Ryan Keckley , DMD

Dentist - General Practice • Poway, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jason Keckley, DMD is a registered healthcare professional specializing in Dentist - General Practice in Poway, CA. Practice services are available at 15725 POMERADO RD STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15725 Pomerado Rd Ste 110

Poway, CA 920642058

Telephone 8584856900
Fax 8584855875
Associated Practice Facility / Clinic
🏢 Valeri Sacknoff D D S Inc Facility NPI 1649626490

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Poway, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
48 Specialists

Practicing in Poway, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 61408

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Valeri Sacknoff , DDS

Dentist - General Practice

NPI 1194813337

Doctor of Dental Surgery

Dr. William Wilson , DDS

Dentist - General Practice

NPI 1356546154

Doctor of Dental Surgery

Dr. David Zettel , DDS

Dentist - General Practice

NPI 1770624421

Doctor of Dental Surgery

Dr. Hoffner Pascua , DDS

Dentist - General Practice

NPI 1891940664

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 21, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2012

Registered at 15725 POMERADO RD STE 110, POWAY, CA 920642058 (Tel: 8584856900)

📍
Updated Business Mailing Address June 21, 2012

Registered at 15725 POMERADO RD STE 110, POWAY, CA 920642058 (Tel: 8584856900)

👤
Provider Name / Credentials Updated June 21, 2012

Recorded as JASON KECKLEY, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2012

Dentist (License #61408 in CA)

🟢
Initial NPI Registration & Enumeration June 21, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609139963
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2012
Last Update: June 21, 2012
Sole Proprietor: No

Mailing Address

15725 Pomerado Rd Ste 110

Poway, CA 920642058

Phone: 8584856900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.