Individual provider Active NPI

Hannah Elizabeth Keller, D.D.S.

  • Dentist
  • Whitehouse, OH
National Provider Identifier
1073995940
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30027182 Issued in OH
Practice address
5850 Weckerly Rd
Whitehouse, OH 43571-9510
Phone
(419) 877-5404
NPI assigned
Jun 26, 2015
Last updated
May 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30027182 OH Primary

Addresses

Primary practice location

5850 Weckerly Rd
Whitehouse, OH 43571-9510

Mailing address

5850 Weckerly Rd
Whitehouse, OH 43571-9510
Phone (419) 877-5404

Other names 1

  • Hannah Elizabeth Leffler Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
30027182OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Shumate Dental LLC CurrentSince Jun 4, 2023 Accepting new patients
BXPQ Dental Kathryn a. Lewis, D.D.S., LLC Dentist PastSince Jun 4, 2023 Accepting new patients

Locations

5850 Weckerly Rd
Whitehouse, OH 43571
Phone (419) 877-5404

Organizations & group practices 2

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": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1073995940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 WECKERLY RD",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719510",
            "telephone_number": "419-877-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 WECKERLY RD",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719510",
            "telephone_number": "419-877-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "HANNAH",
        "middle_name": "ELIZABETH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30027182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "LEFFLER",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whitehouse, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.