Thomas L McKeever, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4209 Issued in WI

Practice address

603 N Rochester St
Mukwonago, WI 53149-1139

Phone

(262) 363-4041

Fax

(262) 363-3908

NPI assigned

Sep 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 WI2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457443046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N ROCHESTER ST",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491139",
            "telephone_number": "262-363-4041",
            "fax_number": "262-363-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N ROCHESTER ST",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491139",
            "telephone_number": "262-363-4041",
            "fax_number": "262-363-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEVER",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Leanne Mathews, RN
• Andrew Mattes, DPT
• Allison Mauss
• Floyd Mayer
• Julia Marie McKagan, OTR
• Tyler McKeever
• Lauren Kay McLeod
• Katelyn Marie McNamara, LPC
• Pamela Ann McWilliams, D.D.S.
• Laura Meagher, M.D.

• General Practice Dentistry in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.