Coleman Patrick Keesler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1002069 Issued in WI

Practice address

6855 S 27TH St
Franklin, WI 53132-8045

Phone

(414) 435-0787

NPI assigned

Jun 8, 2019

Last updated

Jun 20, 2022By the provider in NPPES

Sex

Male

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

Opted out of Medicare

Yes, effective Jul 12, 2023 through Jul 12, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dental Associates LTD of Wisconsin

  • Endodontics
  • Wauwatosa, WI
  • NPI 1518266998

  General Practice

  NPD
• Artistic Smiles Dentistry S.C.

  • General Practice Dentistry
  • Appleton, WI
  • NPI 1871815035
  NPD (past)
• Capital Endodontics

  • Endodontics
  • Madison, WI
  • NPI 1154435246
  NPD (past)
• Capital Endodontics LLC

  • Endodontics
  • Madison, WI
  • NPI 1184837296
  NPD (past)
• Stat Anesthesia Specialists, LTD.

  • Anesthesiology Physician
  • Bremen, IN
  • NPI 1992754089
  NPD (past)

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

{
    "created_epoch": "1559952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1821657347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 E CALUMET ST STE 600",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549154163",
            "telephone_number": "920-968-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6855 S 27TH ST",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328045",
            "telephone_number": "414-435-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESLER",
        "first_name": "COLEMAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-08",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Karman, PT
• Ann Rachel Karvelas, RN, BSN
• Melissa Kasbohm
• Joan-Hannah Kaytonah
• Marissa Kazik
• Amy J Keidl, RN
• Elizabeth Lynn Keller, RN
• Samar Khalek, FNP-BC, APNP
• Iman Lynn Khan, M.S.
• Amber L Kiefer, BCBA

• General Practice Dentistry in Franklin, WI
• Providers in Franklin, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.