John J Keating IV, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DEN.00203355 Issued in CO

Practice address

3821 W Pueblo Blvd
Pueblo, CO 81005-2713

Phone

(719) 564-6467

NPI assigned

May 3, 2012

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": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245599703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 W PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 W PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052713",
            "telephone_number": "719-564-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Alexander Dr",
            "address_purpose": "LOCATION",
            "city": "Linwood",
            "state": "NJ",
            "postal_code": "082211544",
            "country_code": "US",
            "telephone_number": "609-204-2627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Alexander Dr",
            "address_purpose": "LOCATION",
            "city": "Linwood",
            "state": "NJ",
            "postal_code": "082211544",
            "country_code": "US",
            "telephone_number": "609-204-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATING",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02497500",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DEN.00203355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria T. Keairnes, LCSW
• Andrew James Keal, PT, DPT, CSCS
• Emily Anne Kearney, RDN
• Danielle Dalynn Keasling, FNP-C
• Carrie Fox Keating, MA, NCC, LPC
• Indira Kedlaya, MD
• Harry R Keefe, MD
• Caitlin Keeley, PMHNP
• Sarah Elizabeth Keen, D.D.S.
• Sean Keenan, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• 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.