NPIMap

Organization Active NPI

Keelan Dental

  • Dentist
  • Butler, PA
National Provider Identifier
1649638214
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS026867L Issued in PA
Legal business name
KEELAN DENTAL
Practice address
1022 N Main Street Ext
Butler, PA 16001-1956
Phone
(724) 285-4153
NPI assigned
Feb 10, 2016
Last updated
Feb 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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

Authorized official

Name
Dr. John P Keelan, D.M.D.NPI 1437198785
Title
Chief Financial Officer
Phone
(724) 285-4153

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS026867L PA Primary

Addresses

Primary practice location

1022 N Main Street Ext
Butler, PA 16001-1956

Mailing address

1022 N Main Street Ext
Avada BLDG., Suite 203
Butler, PA 16001-1956
Phone (724) 285-4153

National Provider Directory

National Provider Directory

Locations

1022 N Main Street Ext
Ste 203
Butler, PA 16001
Phone (724) 256-4612

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1649638214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 N MAIN STREET EXT",
            "address_2": "AVADA BLDG., SUITE 203",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011956",
            "telephone_number": "724-285-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 N MAIN STREET EXT",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160011956",
            "telephone_number": "724-285-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELAN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-10",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "KEELAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "724-285-4153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS026867L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.