Jeff G. Keeling, DDD,MS,PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11426 Issued in TX

Practice address

5203 79TH St
Suite a
Lubbock, TX 79424-2850

Phone

(806) 798-1043

Fax

(806) 798-7691

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Physician Assistant

State licenses

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1689641862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 79TH ST",
            "address_2": "SUITE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242850",
            "telephone_number": "806-798-1043",
            "fax_number": "806-798-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 79TH ST",
            "address_2": "SUITE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242850",
            "telephone_number": "806-798-1043",
            "fax_number": "806-798-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELING",
        "first_name": "JEFF",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DDD,MS,PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "11426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089500-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hakam Kayasseh, M.D.
• KBK Speech and Swallowing Services, LLC
• Patricia Jo Kearney, P.T.
• Shaun Hamlett Keel, EDD
• Ann Keeling, LPC
• Gabrielle Knorr Keenum, M.A., LPC, NCC
• Christa Keesee, M. S., CCC-SLP
• Dana Keirn
• Audriana Laquinta Keller, LCDC-I
• Douglas M Kelley, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.