Addison James Killeen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6937 Issued in NE

Practice address

5609 S 27TH St Ste D
Lincoln, NE 68512-1602

Phone

(402) 420-0999

NPI assigned

Jun 10, 2011

Last updated

Oct 2, 2019By 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 NE

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Dental, LLC

  • Dentist
  • Lincoln, NE
  • NPI 1194372581
  NPD Authorized official
• Seward Dental Clinic LLC

  • General Practice Dentistry
  • Seward, NE
  • NPI 1982855474
  NPD (past)

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1598050213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 S 27TH ST STE D",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121602",
            "telephone_number": "402-420-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 S 27TH ST STE D",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121602",
            "telephone_number": "402-420-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Seward",
            "state": "NE",
            "postal_code": "684342138",
            "country_code": "US",
            "telephone_number": "402-643-2931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLEEN",
        "first_name": "ADDISON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thien Minh Kieu, APRN
• Naomi Kigondu, PMHNP-BC
• Heidi E Kile, APRN
• Kimberly M. Kilgore, PH.D.
• Gary McVay Kilian, DO
• Amy C Killeen, D.D.S.
• Martin D Killeen, DDS
• Breanna Killin
• Laren Kilmer
• Jean Marie Kilnoski, LMHP

• General Practice Dentistry in Lincoln, NE
• Providers in Lincoln, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.