Active NPI
Steven Joseph Keeton
- Prosthetist
- Greenville, NC
National Provider Identifier
1295990745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- C3630
- Practice address
- 835 Johns Hopkins Dr Ste B
Greenville, NC 27834-7268 - Phone
- (252) 752-7422
- Fax
- (252) 752-5424
- NPI assigned
- Jul 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | C3630 | NC | Primary |
Addresses
Primary practice location
835 Johns Hopkins Dr Ste B
Greenville, NC 27834-7268
Mailing address
835 Johns Hopkins Dr Ste B
Greenville, NC 27834-7268
Phone (252) 752-7422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C3630 | NC | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1295990745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 JOHNS HOPKINS DR STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347268",
"telephone_number": "252-752-7422",
"fax_number": "252-752-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 JOHNS HOPKINS DR STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347268",
"telephone_number": "252-752-7422",
"fax_number": "252-752-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEETON",
"first_name": "STEVEN",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NC",
"license": "C3630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.