Active NPI
Keaton Earl Johnson
- Chore Provider
- Ponca, NE
National Provider Identifier
1013707835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 117 N Union St Suite 1
PO Box 645
Ponca, NE 68770-0645 - Phone
- (402) 508-2999
- Fax
- (402) 755-2387
- NPI assigned
- May 7, 2025
- Last updated
- May 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | NE | Primary |
Addresses
Primary practice location
117 N Union St Suite 1
PO Box 645
Ponca, NE 68770-0645
Mailing address
PO Box 645
Ponca, NE 68770-0645
Phone (712) 251-7523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marcy's Vantage Care, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1013707835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645",
"city": "PONCA",
"state": "NE",
"postal_code": "687700645",
"telephone_number": "712-251-7523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 N UNION ST SUITE 1",
"address_2": "PO BOX 645",
"city": "PONCA",
"state": "NE",
"postal_code": "687700645",
"telephone_number": "402-508-2999",
"fax_number": "402-755-2387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KEATON",
"middle_name": "EARL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-07",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponca, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.