Kevin A Keating, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5818 Issued in NC

Practice address

2600 Oakcrest Ave Ste B
Greensboro, NC 27408-1935

Phone

(336) 282-9886

Fax

(336) 262-9886

NPI assigned

Jan 16, 2007

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 NC

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS Beavers and Keating

  • Endodontics
  • Greensboro, NC
  • NPI 1598816480
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427109396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 OAKCREST AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081935",
            "telephone_number": "336-282-9886",
            "fax_number": "336-262-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OAKCREST AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081935",
            "telephone_number": "336-282-9886",
            "fax_number": "336-262-9886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "KEVIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "5818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Octave M Kayanda, PH.T
• Hannah Jeanne Kaye, LCSW
• Bianca Kdeiss, PSYD
• Susan Phillips Keane, PH.D.
• Thomas G Keane, PH.D.
• Rosh Ann Keating, LCSW
• Thomas J Kebba, MA
• Valerie Ariel Keck, NP-C
• Audrienne Marguerite Keen, LCMHCA
• Cameron Holcombe Keen

• Endodontics in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Endodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.