Organization Active NPI

Jeffery B Kesecker DDS PLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Harrisonburg, VA
National Provider Identifier
1972823995
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
JEFFERY B KESECKER DDS PLC
Practice address
2071 Pro Pointe LN
Harrisonburg, VA 22801-8021
Phone
(540) 437-1230
Fax
(540) 437-1218
NPI assigned
Jun 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brooke Williams
Title
Practice Manager
Phone
(540) 437-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

2071 Pro Pointe LN
Harrisonburg, VA 22801-8021

Mailing address

2071 Pro Pointe LN
Harrisonburg, VA 22801-8021
Phone (540) 437-1230

Other practice location 1

110 Mactanly Pl Ste C
Staunton, VA 24401-2362
Phone (540) 213-8750

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1972823995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 PRO POINTE LN",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018021",
            "telephone_number": "540-437-1230",
            "fax_number": "540-437-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 PRO POINTE LN",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018021",
            "telephone_number": "540-437-1230",
            "fax_number": "540-437-1218"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Mactanly Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "244012362",
            "country_code": "US",
            "telephone_number": "540-213-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFERY B KESECKER DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "540-437-1230"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.