Individual provider Active NPI

Jeremy Horst Keeper, DDS, PHD

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1902048119
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS62449 Issued in CA
Practice address
450 Sutter St RM 2522
San Francisco, CA 94108-4208
Phone
(415) 906-2069
Fax
(415) 390-3130
NPI assigned
Apr 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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 DDS62449 CA Primary

Addresses

Primary practice location

450 Sutter St RM 2522
San Francisco, CA 94108-4208

Mailing address

450 Sutter St RM 2522
San Francisco, CA 94108-4208
Phone (415) 906-2069

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 Philosophy

State licenses

LicenseStateTypeSpecialty
DDS62449CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy Keeper DDS PHD Dental Corporation General Practice Current Accepting new patients
Dr. Keeper'S Dental Wellness General Practice Current Accepting new patients

Locations

450 Sutter St
Rm 2522
San Francisco, CA 94108
Phone (415) 576-9005

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1902048119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2522",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084208",
            "telephone_number": "415-906-2069",
            "fax_number": "415-390-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2522",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084208",
            "telephone_number": "415-906-2069",
            "fax_number": "415-390-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEPER",
        "first_name": "JEREMY",
        "middle_name": "HORST",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS62449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.