Individual provider Active NPI

Keith E Post, D.D.S

  • Dentist
  • Brookfield, WI
National Provider Identifier
1306002258
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5002086 Issued in WI
Practice address
15655 W North Ave
#102
Brookfield, WI 53005-4422
Phone
(262) 821-4499
NPI assigned
Jul 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5002086 WI Primary

Addresses

Primary practice location

15655 W North Ave
#102
Brookfield, WI 53005-4422

Mailing address

15655 W North Ave
#102
Brookfield, WI 53005-4422
Phone (262) 821-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20160623001592 WI Order and Referring Only - DentistPractitioner - Dentist 1759672637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1306002258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 W NORTH AVE",
            "address_2": "#102",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054422",
            "telephone_number": "262-821-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15655 W NORTH AVE",
            "address_2": "#102",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054422",
            "telephone_number": "262-821-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POST",
        "first_name": "KEITH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5002086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.