Active NPI
David Reed Keeling, DMD
- Dentist
- Hales Corners, WI
National Provider Identifier
1356545255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1001372-015
- Practice address
- 5535 S 108TH St
Hales Corners, WI 53130-1949 - Phone
- (414) 529-3253
- Fax
- (844) 529-5810
- NPI assigned
- Jun 13, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1001372-015 | WI | Primary |
Addresses
Primary practice location
5535 S 108TH St
Hales Corners, WI 53130-1949
Mailing address
5535 S 108TH St
Hales Corners, WI 53130-1949
Phone (414) 529-3253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001372-015 | Other | WI | STATE DENTAL LICENSE |
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 |
|---|---|---|---|
| 1001372-015 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1356545255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5535 S 108TH ST",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301949",
"telephone_number": "414-529-3253",
"fax_number": "844-529-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5535 S 108TH ST",
"city": "HALES CORNERS",
"state": "WI",
"postal_code": "531301949",
"telephone_number": "414-529-3253",
"fax_number": "844-529-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELING",
"first_name": "DAVID",
"middle_name": "REED",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1001372-015",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE DENTAL LICENSE",
"identifier": "1001372-015",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hales Corners, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.