Individual provider Active NPI

David L. Keenan, M.D.

  • Reproductive Endocrinology Physician
  • Atlanta, GA
National Provider Identifier
1821058942
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
029481 Issued in GA
Practice address
5909 Peachtree Dunwoody Rd NE
Suite 720
Atlanta, GA 30328-8102
Phone
(770) 928-2276
Fax
(770) 592-2136
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 029481 GA Primary

Addresses

Primary practice location

5909 Peachtree Dunwoody Rd NE
Suite 720
Atlanta, GA 30328-8102

Mailing address

5909 Peachtree Dunwoody Rd NE
Suite 720
Atlanta, GA 30328-8102
Phone (770) 928-2276

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
029481GAMDReproductive Endocrinology Physician

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1821058942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303288102",
            "telephone_number": "770-928-2276",
            "fax_number": "770-592-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 720",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303288102",
            "telephone_number": "770-928-2276",
            "fax_number": "770-592-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "DAVID",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "GA",
            "license": "029481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.