Individual provider Active NPI

Joseph Bernardo Keller

  • Hearing Instrument Specialist
  • Sun City, AZ
National Provider Identifier
1083954747
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HAD7695 Issued in AZ
Practice address
15440 N 99TH Ave
Suite 17
Sun City, AZ 85351-1962
Phone
(623) 977-0506
Fax
(623) 974-9901
NPI assigned
Feb 18, 2013
Last updated
Feb 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HAD7695 AZ Primary

Addresses

Primary practice location

15440 N 99TH Ave
Suite 17
Sun City, AZ 85351-1962

Mailing address

15440 N 99TH Ave
Suite 17
Sun City, AZ 85351-1962
Phone (623) 977-0506

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

State licenses

LicenseStateTypeSpecialty
HAD7695AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Connect Hearing Inc Hearing Instrument Specialist Past Accepting new patients
Connect Hearing, Inc. Hearing Instrument Specialist Past Accepting new patients

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": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1083954747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15440 N 99TH AVE",
            "address_2": "SUITE 17",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511962",
            "telephone_number": "623-977-0506",
            "fax_number": "623-974-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15440 N 99TH AVE",
            "address_2": "SUITE 17",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511962",
            "telephone_number": "623-977-0506",
            "fax_number": "623-974-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JOSEPH",
        "middle_name": "BERNARDO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "AZ",
            "license": "HAD7695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.