Jason C Keefe, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

00006668 Issued in WA

Practice address

130 W 10TH Ave
Kettle Falls, WA 99141-8666

Phone

(509) 738-6880

Fax

(509) 738-6824

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thomas B Johnson DMD PLLC

  • General Practice Dentistry
  • Kettle Falls, WA
  • NPI 1184082455
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841347416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 10TH AVE",
            "city": "KETTLE FALLS",
            "state": "WA",
            "postal_code": "991418666",
            "telephone_number": "509-738-6880",
            "fax_number": "509-738-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 10TH AVE",
            "city": "KETTLE FALLS",
            "state": "WA",
            "postal_code": "991418666",
            "telephone_number": "509-738-6880",
            "fax_number": "509-738-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "JASON",
        "middle_name": "C",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "00006668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5013511",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April S. Hume, M.D.
• Donald L Jackson, PA C
• Edward D Johnson, MD
• Thomas B Johnson, DMD
• Wafaa Johnson, BIRTHING DOULA
• Stefanie Caleen Kent, LMT
• Kettle Falls School District
• Kettle Falls Vision Clinic
• Tammy Elaine Lewis, P.T.
• Amy Melsness

• General Practice Dentistry in Kettle Falls, WA
• Providers in Kettle Falls, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.