Organization Active NPI

Martha Ann Keels DDS, PHD, PA

  • Pediatric Dentistry
  • Durham, NC
National Provider Identifier
1720465354
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5288 Issued in NC
Legal business name
MARTHA ANN KEELS DDS, PHD, PA
Practice address
2711 N Duke St
Durham, NC 27704-2619
Phone
(919) 220-1416
Fax
(919) 220-6936
NPI assigned
May 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Authorized official

Name
Dr. Martha Ann Keels, DDS PHD
Title
Pediatric Dentist
Phone
(919) 619-2056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5288 NC Primary

Addresses

Primary practice location

2711 N Duke St
Durham, NC 27704-2619

Mailing address

2711 N Duke St
Durham, NC 27704-2619
Phone (919) 220-1416

Other identifiers 1

IdentifierTypeStateIssuer
8994781MedicaidNC

National Provider Directory

National Provider Directory

Locations

2711 N Duke St
Durham, NC 27704
Phone (919) 220-1416

NPI Registry JSON

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1720465354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042619",
            "telephone_number": "919-220-1416",
            "fax_number": "919-220-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 N DUKE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042619",
            "telephone_number": "919-220-1416",
            "fax_number": "919-220-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA ANN KEELS DDS, PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "KEELS",
        "authorized_official_first_name": "MARTHA ANN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "919-619-2056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PHD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "5288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994781",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.