Shelby Keeton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0910 Issued in SD

Practice address

117 E Cherry St
Vermillion, SD 57069-2257

Phone

(605) 624-0070

Fax

(605) 624-4070

NPI assigned

Jul 1, 2009

Last updated

Jul 1, 2009By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• B.D. Jensen Prof. LLC

  dba Heartland Smiles

  • General Practice Dentistry
  • Vermillion, SD
  • NPI 1821227596
  NPD (past)
• Siouxland Dental Health- Vermillion PLLC

  • General Practice Dentistry
  • Vermillion, SD
  • NPI 1558610766
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1750519583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30936 BLUFF RD",
            "city": "VOLIN",
            "state": "SD",
            "postal_code": "570726601",
            "telephone_number": "605-670-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E CHERRY ST",
            "city": "VERMILLION",
            "state": "SD",
            "postal_code": "570692257",
            "telephone_number": "605-624-0070",
            "fax_number": "605-624-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETON",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Jordan, DO
• Becca D Jordre, DPT
• Brian Phillip Jundt, M.D.
• Dena Marie Jundt, M.D.
• Kathryn Therese Kassin, PA
• Knutson Familty Dentistry LLP
• Matthew Richard Knutson, DDS
• Richard Leonard Knutson, DDS
• Kopf Dental Group
• Blake Kopf, DDS

• General Practice Dentistry in Vermillion, SD
• Providers in Vermillion, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.