Lucinda S Keller, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9369 Issued in MD

Practice address

1430 Solomons Island Rd
#3
Huntingtown, MD 20639-0339

Phone

(410) 535-4022

Fax

(410) 535-0809

NPI assigned

Jul 25, 2006

Sex

Female

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104848209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206390339",
            "telephone_number": "410-535-4022",
            "fax_number": "410-535-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 SOLOMONS ISLAND RD",
            "address_2": "#3",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206390339",
            "telephone_number": "410-535-4022",
            "fax_number": "410-535-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LUCINDA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huntingtown Volunteer Fire Department Rescue Squad
• Jessica M Jacobs, LCSW-C
• Robert E Jones Jr., LCSW
• Juniper TMS
• Sarah Justice
• Richard Edward Kelly, LCPC
• Kirk a. Carver, DC PA
• Lauresta Lynne Krause, LCSW-C
• Mbunwu Lambjulius
• Michael K Lea, PHD, PSYD

• General Practice Dentistry in Huntingtown, MD
• Providers in Huntingtown, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.