Individual provider Active NPI

Patrick Joseph Keem, DDS

  • General Practice Dentistry
  • Orchard Park, NY
National Provider Identifier
1831633460
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
032211-1 Issued in NY
Practice address
8 Highbrook CT
Orchard Park, NY 14127-3915
Phone
(716) 662-3881
Fax
(716) 662-3881
NPI assigned
Dec 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 032211-1 NY Primary

Addresses

Primary practice location

8 Highbrook CT
Orchard Park, NY 14127-3915

Mailing address

8 Highbrook CT
Orchard Park, NY 14127-3915
Phone (716) 662-3881

Other identifiers 1

IdentifierTypeStateIssuer
032211-1OtherNYNONE

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

LicenseStateTypeSpecialty
032211-1NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1831633460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HIGHBROOK CT",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273915",
            "telephone_number": "716-662-3881",
            "fax_number": "716-662-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HIGHBROOK CT",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273915",
            "telephone_number": "716-662-3881",
            "fax_number": "716-662-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEM",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032211-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "032211-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.