Keenan Cave, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12012381A Issued in IN

Practice address

7441 Heathrow Way
Indianapolis, IN 46241-9503

Phone

(317) 856-5544

Fax

(317) 856-9662

NPI assigned

Jul 10, 2015

Sex

Male

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 IN

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifetime Dental Care of Indiana, PC

  • General Practice Dentistry
  • Bloomington, IN
  • NPI 1578785036
  NPD (past)

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1235513110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 HEATHROW WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419503",
            "telephone_number": "812-521-3158",
            "fax_number": "812-339-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7441 HEATHROW WAY",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462419503",
            "telephone_number": "317-856-5544",
            "fax_number": "317-856-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVE",
        "first_name": "KEENAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-10",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012381A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquana Causey
• Melissa K Cavaghan, MD
• John Cavanaugh, M.D.
• John Edward Cavanaugh, MD
• Patricia Cavanaugh
• Melissa D Cave, MD
• Clinton Cavett, MD
• Scott Alexander Cavins, M.A.
• Nicholas Cawby
• Haley Michele Cawthon, MSW, LCSW

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; 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.