Individual provider Active NPI

Keena Brittingham, D. D. S.

  • Dentist
  • Utica, NY
National Provider Identifier
1538342191
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
053248-1 Issued in NY
Practice address
224 N Genesee St
Utica, NY 13502-2529
Phone
(315) 798-1319
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 053248-1 NY Primary

Addresses

Primary practice location

224 N Genesee St
Utica, NY 13502-2529

Mailing address

224 N Genesee St
Utica, NY 13502-2529
Phone (315) 798-1319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
053248-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Judge Dental, PLLC Past Accepting new patients
Keena Brittingham DDS PLLC PastSince Aug 28, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1538342191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 N GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022529",
            "telephone_number": "315-798-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022529",
            "telephone_number": "315-798-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTINGHAM",
        "first_name": "KEENA",
        "name_prefix": "Dr.",
        "credential": "D. D. S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053248-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.