Individual provider Active NPI

James Clayton Keller Jr., DDS

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1962511568
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2542 Issued in LA
Practice address
8254 One Calais Ave
Ste 100
Baton Rouge, LA 70809-3450
Phone
(225) 769-3352
Fax
(225) 769-3356
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2542 LA Primary

Addresses

Primary practice location

8254 One Calais Ave
Ste 100
Baton Rouge, LA 70809-3450

Mailing address

8254 One Calais Ave
Ste 100
Baton Rouge, LA 70809-3450
Phone (225) 769-3352

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
2542LAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962511568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8254 ONE CALAIS AVE",
            "address_2": "STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093450",
            "telephone_number": "225-769-3352",
            "fax_number": "225-769-3356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8254 ONE CALAIS AVE",
            "address_2": "STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093450",
            "telephone_number": "225-769-3352",
            "fax_number": "225-769-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JAMES",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.