G. William Keller, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

G1-0000899 Issued in DE

Practice address

1110 N Bancroft Pkwy
Wilmington, DE 19805-2669

Phone

(302) 652-3586

Fax

(302) 652-1174

NPI assigned

Apr 11, 2007

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

Enrolled in DE

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.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Delaware Periodontics, P.a.

  • Periodontics
  • Wilmington, DE
  • NPI 1356476279
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912120676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N BANCROFT PKWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052669",
            "telephone_number": "302-652-3586",
            "fax_number": "302-652-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N BANCROFT PKWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052669",
            "telephone_number": "302-652-3586",
            "fax_number": "302-652-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "G.",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DE",
            "license": "G1-0000899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Kegelman, D.P.T., CFMT
• Susan M Keith, MD
• Sylvia Kelemen, M.D.
• Noah Pierson Kelleher, MD
• Emily R Keller, CRNP
• Nicole Keller, LCSW
• Kathleen T Kelley
• Robin D. Kelley, APRN
• Joseph C Kelly Jr., DDS
• Joseph P Kelly, OTRLCHT

• Periodontics in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Periodontics in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.