Jacob Kieffer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN4538 Issued in ME

Practice address

202 US Route 1 Ste 1
Falmouth, ME 04105-1327

Phone

(207) 517-7008

NPI assigned

Jul 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brunswick Dentistry PLLC

  • Dental Clinic/Center
  • Brunswick, ME
  • NPI 1275301426
  NPD Authorized official

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1013430453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STONE POST LN",
            "city": "NORTH YARMOUTH",
            "state": "ME",
            "postal_code": "040976351",
            "telephone_number": "207-907-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 US ROUTE 1 STE 1",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051327",
            "telephone_number": "207-517-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFFER",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Michael Kazimierczak, DO
• Daniel Keefe
• Donna Lynne Keenan, P.T.
• Kelsey a Harney DMD LLC
• Kenneth E Myers D.D.S, PA
• Jaime Storey Kiesow, OTR/L
• Regina Y Kim, MD
• Kimberley D Goss OD PA
• Kimberly Farr
• Kimberly G Farr

• General Practice Dentistry in Falmouth, ME
• Providers in Falmouth, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.