Heath Joseph Ketteler

Primary specialty

DentistTaxonomy code 122300000X

License

7920 Issued in NV

Practice address

1877 N 4TH St
David City, NE 68632-2209

Phone

(402) 954-4033

NPI assigned

Jun 14, 2023

Sex

Male

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2024.

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1780368134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877 N 4TH ST",
            "city": "DAVID CITY",
            "state": "NE",
            "postal_code": "686322209",
            "telephone_number": "402-954-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877 N 4TH ST",
            "city": "DAVID CITY",
            "state": "NE",
            "postal_code": "686322209",
            "telephone_number": "402-954-4033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4321 41st Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NE",
            "postal_code": "686012131",
            "country_code": "US",
            "telephone_number": "402-562-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETTELER",
        "first_name": "HEATH",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Ingwersen, LPN
• Laurie Lynn Jansen
• Amy S. Jelinek, PHARMD, RP
• Kelly Ann Johnson, APRN, NP-C
• Michelle M Juranek
• Rebecca Joan Kouma, PA
• Ashley Kreikemeier
• Rose Rene Kremer, OTR
• Sandra Lara
• Anna M Laska, PTA

• All providers in David City, NE
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.