Joe Mac Keller, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

ON4337 Issued in FL

Practice address

217 E 23Rd St
Suite D
Panama City, FL 32405-4556

Phone

(850) 785-1571

Fax

(850) 785-6991

NPI assigned

Sep 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255435590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E 23RD ST",
            "address_2": "SUITE D",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054556",
            "telephone_number": "850-785-1571",
            "fax_number": "850-785-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E 23RD ST",
            "address_2": "SUITE D",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054556",
            "telephone_number": "850-785-1571",
            "fax_number": "850-785-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JOE",
        "middle_name": "MAC",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "ON4337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Keely, NP-C
• Sara M Keene, CRNA
• Keith M Banton MD PA
• Shelley Keller Clark, AG-ACNP
• Elizabeth Keller
• Brandi Nichole Kelley
• Justin Patrick Kelley, CRNA
• Patrick Mark Kelley, M.D.
• Timothy Buddy Kelley, RPH
• Adel Marie Kelly, NP

• Orthodontics and Dentofacial Orthopedics Dentistry in Panama City, FL
• Providers in Panama City, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.