Active NPI
Celina Burchett Keehan, DMD
- General Practice Dentistry
- New Albany, IN
National Provider Identifier
1780242040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12013515
- Practice address
- 5104 Charlestown Rd
New Albany, IN 47150 - Phone
- (812) 670-5907
- NPI assigned
- Jun 3, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 10302 | KY | |
| General Practice Dentistry | 1223G0001X | 12013515 | IN | Primary |
Addresses
Primary practice location
5104 Charlestown Rd
New Albany, IN 47150
Mailing address
5104 Charlestown Rd
New Albany, IN 47150-9429
Phone (812) 670-5907
Other practice location 1
4100 Woehrle Rd
Jeffersonville, IN 47130
Phone (812) 280-7500
Other practice location 2
5520 E Highway 62
Jeffersonville, IN 47130
Phone (812) 280-8000
Other practice location 3
551 Westport Rd Ste A
Elizabethtown, KY 42701-2950
Phone (270) 769-3306
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 |
|---|---|---|---|
| 12013515 | IN | MD | General Practice Dentistry |
| 10302 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624579200000",
"number": "1780242040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5104 CHARLESTOWN RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509429",
"telephone_number": "812-670-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5104 CHARLESTOWN RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "47150",
"telephone_number": "812-670-5907"
}
],
"practiceLocations": [
{
"address_1": "4100 Woehrle Rd",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "47130",
"country_code": "US",
"telephone_number": "812-280-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5520 E Highway 62",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "47130",
"country_code": "US",
"telephone_number": "812-280-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "551 Westport Rd Ste A",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "KY",
"postal_code": "427012950",
"country_code": "US",
"telephone_number": "270-769-3306",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEEHAN",
"first_name": "CELINA",
"middle_name": "BURCHETT",
"name_prefix": "Mrs.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "10302",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12013515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.