Brett Leroy Keeler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1173 Issued in AK

Practice address

13012 Old Glenn Hwy
Stu. 101a
Eagle River, AK 99577-7568

Phone

(907) 694-2129

Fax

(907) 694-1129

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1013080191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13012 OLD GLENN HWY",
            "address_2": "STU. 101A",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777568",
            "telephone_number": "907-694-2129",
            "fax_number": "907-694-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13012 OLD GLENN HWY",
            "address_2": "STU. 101A",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777568",
            "telephone_number": "907-694-2129",
            "fax_number": "907-694-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELER",
        "first_name": "BRETT",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD1173",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Kafka-Lunski, CRNA
• Susan H. Kaplan, PHD, OTR
• Katmai Oncology Group, LLC
• Kay Zwiacher, LLC
• Hannah Kee
• Jeffrey Keene, O.D.
• Olivia Suzanne Keller, M.S., CF-SLP
• Kaylen Kelley, LPC
• Amanda Linn Kempainen, DMD
• Chelsea Victoria Kercher

• General Practice Dentistry in Eagle River, AK
• Providers in Eagle River, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.