Amy Marie Killeen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8495 Issued in MD

Practice address

29A West Pennsylvania Avenue
Walkersville, MD 21793

Phone

(301) 898-5778

Fax

(301) 898-5350

NPI assigned

Aug 12, 2006

Sex

Female

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 MD

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

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689686255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "217930608",
            "telephone_number": "301-898-5778",
            "fax_number": "301-898-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29A WEST PENNSYLVANIA AVENUE",
            "city": "WALKERSVILLE",
            "state": "MD",
            "postal_code": "21793",
            "telephone_number": "301-898-5778",
            "fax_number": "301-898-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEEN",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "8495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eureka Lapearle Jackson, OTR
• Jenny Grey LCPC LLC
• John a Shutta, MD, PA
• Mary Elizabeth Serey Johnson, LC-PC
• Rachel Joy
• Christina Michele Killmon, M.S. CCC-SLP
• Kindly Healing LLC
• Jenna Lee Klahre, PT, DPT
• Michele Suzanne Lauret, CCC-SLP
• Like Family Home Health Care Inc

• General Practice Dentistry in Walkersville, MD
• Providers in Walkersville, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.