Active NPI
Sruthi R Keeling, DMD
- General Practice Dentistry
- Clarksville, TN
National Provider Identifier
1659740231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 058151
- Practice address
- 1762 Highway 48
Clarksville, TN 37040-7284 - Phone
- (931) 645-8000
- NPI assigned
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 058151 | NY | Primary |
| Dentist | 122300000X | 10223 | TN |
Addresses
Primary practice location
1762 Highway 48
Clarksville, TN 37040-7284
Mailing address
1256 Vantage Pointe Unit 203
Ashland City, TN 37015-4072
Phone (615) 414-8243
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
| License | State | Type | Specialty |
|---|---|---|---|
| 058151 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Sleep Solutions of Clarksville LLC | Dentist | Past | Accepting new patients |
| Donald a Jones DDS | General Practice | Past | 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.
-
- Dentist
- Clarksville, TN
- NPI 1659933349
-
- General Practice Dentistry
- Clarksville, TN
- NPI 1689789067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1659740231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1256 VANTAGE POINTE UNIT 203",
"city": "ASHLAND CITY",
"state": "TN",
"postal_code": "370154072",
"telephone_number": "615-414-8243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1762 HIGHWAY 48",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370407284",
"telephone_number": "931-645-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELING",
"first_name": "SRUTHI",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "058151",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10223",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.