Joseph William Keck, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011437A Issued in IN

Practice address

151 E Bow St
Thorntown, IN 46071-1164

Phone

(765) 436-2433

Fax

(765) 436-2551

NPI assigned

Aug 3, 2010

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

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352764800000",
    "number": "1326352295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E BOW ST",
            "city": "THORNTOWN",
            "state": "IN",
            "postal_code": "460711164",
            "telephone_number": "765-436-2433",
            "fax_number": "765-436-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E BOW ST",
            "city": "THORNTOWN",
            "state": "IN",
            "postal_code": "460711164",
            "telephone_number": "765-436-2433",
            "fax_number": "765-436-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2012-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011437A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Believe Midwifery Services, LLC
• Lauren Hunter Benakovich, D.C.
• Barbara S Click, NP
• Holly L Hopkins, RN, CNM
• Megan Bartlett Keck, DDS
• Lindsay C. Ketzner, MD
• Gretchen Elizabeth Knight, RN
• Douglas John Ladika, PA-C
• Cathy A Maners

• General Practice Dentistry in Thorntown, IN
• Providers in Thorntown, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.