John Gordon Keeton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901020244 Issued in MI

Practice address

520 S Church St
Brighton, MI 48116-1814

Phone

(810) 229-6318

NPI assigned

Sep 10, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245547397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S CHURCH ST",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161814",
            "telephone_number": "810-229-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S CHURCH ST",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161814",
            "telephone_number": "810-229-6318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36580 Dowling St",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481505408",
            "country_code": "US",
            "telephone_number": "734-945-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEETON",
        "first_name": "JOHN",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020244",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Katofiasc
• Kayla Katterman, M.A., LMFT
• Marshall Gene Katz, MD
• Darren Gary Kaus, ATC
• Karen Anne Kazyak
• Karlee Kehres
• Catherine Anne Keister, LLMSW
• Keller Chiropractic, P.L.L.C.
• Kylee Keller, M.S.
• Ronald Dale Keller II

• General Practice Dentistry in Brighton, MI
• Providers in Brighton, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.