Dennis Keenan, MCJ

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

S63969435 Issued in MA

Practice address

145 Faunce Corner Road
North Dartmouth, MA 02747-1263

Phone

(774) 206-1125

NPI assigned

Apr 24, 2012

Last updated

Apr 24, 2012By the provider in NPPES

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

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1023376423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 WILLOW RD",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023392730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FAUNCE CORNER ROAD",
            "city": "NORTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027471263",
            "telephone_number": "774-206-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "MCJ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "S63969435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane C Kim DMD, PC D/B/a Omnidentix
• Arthur J Jarrett III
• Shyam Sunder Jindal, D.M.D
• Joseph Mills, DMD
• Ipsita Kadam
• Evelyn Kelly, AUD
• Kem Optical P.C.
• Ashley Marie Curran Kenyon, DO
• Kenneth Ralph Kenyon, M.D.
• Jessica Lynn Keough, NP

• Behavior Analyst in North Dartmouth, MA
• Providers in North Dartmouth, MA by specialty
• Behavior Analyst in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.