Individual provider Active NPI

William B. Keskimaki, D.D.S.

  • General Practice Dentistry
  • Alpena, MI
National Provider Identifier
1417935198
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
015331 Issued in MI
Practice address
330 Long Rapids PLZ
Alpena, MI 49707-1374
Phone
(989) 356-0191
Fax
(989) 354-9159
NPI assigned
Jan 4, 2006
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 015331 MI Primary

Addresses

Primary practice location

330 Long Rapids PLZ
Alpena, MI 49707-1374

Mailing address

330 Long Rapids PLZ
Alpena, MI 49707-1374
Phone (989) 356-0191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150612000501 MI Order and Referring Only - DentistPractitioner - Dentist 5193036408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015331MIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1417935198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071374",
            "telephone_number": "989-356-0191",
            "fax_number": "989-354-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LONG RAPIDS PLZ",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071374",
            "telephone_number": "989-356-0191",
            "fax_number": "989-354-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESKIMAKI",
        "first_name": "WILLIAM",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.