NPIMap

Organization Active NPI

Dr. Patrick L. Keesee

  • Dentist
  • Bardstown, KY
National Provider Identifier
1578801072
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7247 Issued in KY
Legal business name
DR. PATRICK L. KEESEE
Practice address
120 W Stephen Foster Ave
Suite 104
Bardstown, KY 40004-1465
Phone
(502) 348-5800
Fax
(502) 348-9990
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Dr. Patrick L. Keesee, DMDNPI 1023160355
Title
Owner
Phone
(502) 348-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7470 KY
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7247 KY Primary

Addresses

Primary practice location

120 W Stephen Foster Ave
Suite 104
Bardstown, KY 40004-1465

Mailing address

120 W Stephen Foster Ave
Suite 104
Bardstown, KY 40004-1465
Phone (502) 348-5800

National Provider Directory

National Provider Directory

Locations

120 W Stephen Foster Ave
Ste 104
Bardstown, KY 40004
Phone (502) 348-5800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1578801072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE",
            "address_2": "SUITE 104",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041465",
            "telephone_number": "502-348-5800",
            "fax_number": "502-348-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W STEPHEN FOSTER AVE",
            "address_2": "SUITE 104",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041465",
            "telephone_number": "502-348-5800",
            "fax_number": "502-348-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PATRICK L. KEESEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "KEESEE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-348-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "7470",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "7247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.