Active NPI
Megan Bartlett Keck, DDS
- General Practice Dentistry
- Thorntown, IN
National Provider Identifier
1437403532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12011840A
- Practice address
- 151 East Bow Street
Suite 1
Thorntown, IN 46071 - Phone
- (765) 436-2433
- Fax
- (765) 436-2551
- NPI assigned
- Oct 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12011840A | IN | |
| General Practice Dentistry | 1223G0001X | 12011840A | IN | Primary |
Addresses
Primary practice location
151 East Bow Street
Suite 1
Thorntown, IN 46071
Mailing address
151 East Bow Street
Suite 1
Thorntown, IN 46071
Phone (765) 436-2433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12011840A | Other | IN | DENTAL LICENSE |
Other names 1
- Megan Bartlett Byrne
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161010002007 | IN | Order and Referring Only - Other (Physician) | 3173811015 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011840A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1437403532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 EAST BOW STREET",
"address_2": "SUITE 1",
"city": "THORNTOWN",
"state": "IN",
"postal_code": "46071",
"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 EAST BOW STREET",
"address_2": "SUITE 1",
"city": "THORNTOWN",
"state": "IN",
"postal_code": "46071",
"telephone_number": "765-436-2433",
"fax_number": "765-436-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KECK",
"first_name": "MEGAN",
"middle_name": "BARTLETT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-29",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12011840A",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12011840A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "12011840A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "BYRNE",
"middle_name": "BARTLETT",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Thorntown, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.