Heather Keeling, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN4423 Issued in ME

Practice address

4 Commons Ave
Windham, ME 04062-5554

Phone

(207) 893-2001

NPI assigned

May 27, 2015

Sex

Female

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 ME

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.

• The Dental Loft

  • Dentist
  • Portland, ME
  • NPI 1578007423
  NPD Authorized official
• Michael Bufo DMD LLC

  dba Windham Dental Associates

  • General Practice Dentistry
  • Windham, ME
  • NPI 1700153483
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1528447208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022161",
            "telephone_number": "207-773-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COMMONS AVE",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625554",
            "telephone_number": "207-893-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELING",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journey Therapeutic Solutions LLC
• Juan Mateo Pmhnp-BC PLLC
• Kwonduk Jung, DMD
• Gabrielle Kana Tiezan
• Jeraldine S Keane-Dreyer, PH.D.
• Nancy Kelly
• Cathy Kelso
• Emily Nicole Kent
• Jill Marie Kerekes, M.D.
• Karre Kern, LCSW

• Dentist in Windham, ME
• Providers in Windham, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.