DR. JAMES PETER KEENAN (NPI# 1043342025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043342025 |
| Entity Type | Individual |
| Full Name | DR. JAMES PETER KEENAN |
| Credential | DDS |
| Practice Address |
21 N Portland St Fond Du Lac WI 54935-3465 |
| Practice Telephone | 9209228060 |
| Practice Fax Number | 9209267618 |
| Mailing Telephone | 9209228060 |
| Mailing Fax Number | 9209267618 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5000172-015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710147418 | James W Keenan | Psychologist | 820 Lilac Dr N, Suite 130, Golden Valley, MN 55422-4700 | 2008-06-16 |
| 1568545697 | James Robert Keenan Jr. | Dentist | 2709 Ocean Ave, #a8, Brooklyn, NY 11229-4668 | 2006-10-23 |
| 1205863958 | James F Keenan | Radiology | 100 Hospital Dr, Bennington, VT 05201-5004 | 2006-06-27 |
| 1972509529 | James Vincent Keenan | Dentist | 650 Town Bank Rd, North Cape May, NJ 08204-4409 | 2005-06-28 |
| Street Address |
21 N PORTLAND ST |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54935-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639284953 | Richard Alan Galow | Dentist | 21 N Portland St, Fond Du Lac, WI 54935-3465 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609482249 | Keziah Sherri Love | Counselor | W390 Wi-23, Fond Du Lac, WI 54935 | 2020-09-18 |
| 1891341988 | Cynthia Louise Singleton | Nurse Practitioner | 16 E 13th St., Fond Du Lac, WI 54935 | 2019-08-14 |
| 1083183297 | Elena Alexandra Giese | Nurse Practitioner | 430 E. Division St, Fond Du Lac, WI 54935 | 2018-11-16 |
| 1669963740 | Elizabeth Anne Machi | Student in an Organized Health Care Education/Training Program | 885 Western Ave Ste 300, Fond Du Lac, WI 54935 | 2018-05-23 |
| 1184150021 | Jordan Moehn | Specialist/Technologist | 633 Prairie Pkwy, Fond Du Lac, WI 54935 | 2017-05-11 |
| 1467856336 | Chuentao Ho | Specialist/Technologist | 45 South National Ave., Fond Du Lac, WI 54935 | 2014-10-21 |
| 1437587961 | Paula Seeley | Nurse Practitioner | 63 West Pioneer Rd, Fond Du Lac, WI 54935 | 2013-10-18 |
| 1144516030 | Bonnie Kay Mallon | Registered Nurse | 118 E 9th St, Fond Du Lac, WI 54935 | 2011-06-20 |
| 1770885600 | Holly Shepard | Counselor | 23 W Scott St., Fond Du Lac, WI 54935 | 2010-11-29 |
| 1437479110 | Ruth Marie Bohn | Occupational Therapy Assistant | 244 North Macy Street, Fond Du Lac, WI 54935 | 2010-06-04 |
| Find all providers in zip 54935 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942622337 | Kathleen Doyle-kelly | Dentist | 570 Fond Du Lac Ave, Fond Du Lac, WI 54935-5442 | 2014-01-20 |
| 1871881169 | Jed Harris | Dentist | 834 W Johnson St, Fond Du Lac, WI 54935-2018 | 2011-07-20 |
| 1760628887 | William C Mauthe | Dentist | 101 Camelot Dr Ste 3, Fond Du Lac, WI 54935-8048 | 2008-12-18 |
| 1144341108 | Paul V Rickard | Dentist | Dental Associates, 545 E Johnson Street, Fond Du Lac, WI 54935 | 2007-04-03 |
| 1912037896 | William C Mauthe & Associates Dds Sc | Dentist | 101 Camelot Dr, Fond Du Lac, WI 54935 | 2007-03-07 |
| 1720129190 | Doyle and Doyle Sc | Dentist | 570 Fond Du Lac Avenue, Fond Du Lac, WI 54935 | 2007-02-09 |
| 1285780171 | Thomas Leo Kraus | Dentist | 35 W Scott St, Fond Du Lac, WI 54935-2342 | 2007-01-25 |
| 1427122001 | Stephen Robert Speidel | Dentist | 333 N Peters Ave, Ste. 1, Fond Du Lac, WI 54935-8257 | 2006-11-17 |
| 1417041005 | Kent T Botsford IIi | Dentist | 525 East Division Street, Fond Du Lac, WI 54935 | 2006-10-03 |
| 1952494569 | Todd Allen Sarauer | Dentist | 845 S. Main Street Suite 130, Fond Du Lac, WI 54935 | 2006-10-02 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54935 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.