James Vincent Keenan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI01398500 Issued in NJ

Practice address

650 Town Bank Rd
North Cape May, NJ 08204-4409

Phone

(609) 884-2969

NPI assigned

Jun 28, 2005

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

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 Jan 30, 2016 through Jan 30, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1972509529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 WILLOW DR",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391540",
            "telephone_number": "732-747-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 TOWN BANK RD",
            "city": "NORTH CAPE MAY",
            "state": "NJ",
            "postal_code": "082044409",
            "telephone_number": "609-884-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "JAMES",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01398500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Hober, APN
• Matthew Hanson Hong, MD
• Christine A Hucklebridge, OTR
• Melissa Jastremski
• Tina Louise Kane, CRNP
• Diana C Kezlaw
• Chelsey Kohler, PHARM. D.
• Frank Duncan Kolondra, RPH
• Adrianna Langley, OTR/L
• Mariela Dayana Maldonado-Rodriguez, M.S

• Dentist in North Cape May, NJ
• Providers in North Cape May, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.