Kristopher Keeton, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

016.0095852 Issued in VT

Practice address

27 N Willard St
Burlington, VT 05401-3312

Phone

(802) 862-8625

NPI assigned

Mar 25, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 8, 2022 through Nov 8, 2026

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.

• Barclay & Fersing Inc

  • Dentist
  • Burlington, VT
  • NPI 1447248919
  NPD (past)
• Willard Street Family Dental

  • Dentist
  • Burlington, VT
  • NPI 1427226380
  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1902148232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 N WILLARD ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013312",
            "telephone_number": "802-862-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N WILLARD ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013312",
            "telephone_number": "802-862-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETON",
        "first_name": "KRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "016.0095852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Kearns, LCMHC
• David P Keating, MD
• Friederike Kyra Keating, MD
• Kathleen M Keating, APRN
• Diana Keenan, LICSW
• Robert Lewis Keith, PH.D.
• William A. Keithcart, MA, LADC
• Julie Anne Kelbert, CRNA
• Erin Kellar, MS, AAP
• Barbara Keller, LCMHC

• All providers in Burlington, VT
• Dentist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.