KEENAN R. DECKER D.M.D. (NPI# 1497920573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497920573 |
| Entity Type | Organization |
| Organization Name | KEENAN R. DECKER D.M.D. |
| Practice Address |
1815 Billie Acres Pl Lowell AR 72745-8641 |
| Mailing Address |
Po Box 1037 Lowell AR 72745-1037 |
| Practice Telephone | 4797704333 |
| Practice Fax Number | 4797704334 |
| Mailing Telephone | 4797704333 |
| Mailing Fax Number | 4797704334 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DR. KEENAN R DECKER (DENTIST) |
| Authorized Official Telephone | 4797704333 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 5S900 | 01 |
| Street Address |
1815 BILLIE ACRES PL |
| City | LOWELL |
| State | AR |
| Zip Code | 72745-8641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518442706 | Harps Food Stores, Inc. | Pharmacy | 916 W Monroe Ave., Lowell, AR 72745 | 2018-10-03 |
| 1801300405 | Sarah Elizabeth Bright | Speech-Language Pathologist | 121 South Ave., Lowell, AR 72745 | 2017-11-20 |
| 1306398151 | Keegan Sutton | Occupational Therapist | 612 S Lincoln, Ste A, Lowell, AR 72745 | 2016-10-27 |
| 1922470368 | Sharon Hunter | Contractor | 14213 Edens Bluff Drive, Lowell, AR 72745 | 2015-10-26 |
| 1881959450 | Robert J. Tomlinson Md, Pa | Orthopaedic Surgery | 212 W. Monroe Ave., Ste A, Lowell, AR 72745 | 2012-07-10 |
| 1376806760 | Gretchen E Brannon | Nurse Practitioner | 114 Harrison Ave., Lowell Pharmacy Blds, Lowell, AR 72745 | 2012-06-20 |
| 1407094220 | Dr. Angela Moore Family Chiropractic, P.l.c. | Chiropractor | 117 S Dixieland St, Ste B, Lowell, AR 72745 | 2009-02-02 |
| 1104078302 | University of Arkansas for Medical Science | Developmental Therapist | 519 Latham Dr., Lowell, AR 72745 | 2008-10-21 |
| 1356593479 | University of Arkansas for Medical Sciences | Registered Nurse | 519 Latham Drive, Lowell, AR 72745 | 2008-10-21 |
| 1912039827 | Looper Chiropractic Pa | Chiropractor | 200 S Bloomington, Ste I, Lowell, AR 72745 | 2007-03-09 |
| Find all providers in zip 72745 | ||||
| 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 |
|---|---|---|---|---|
| 1124664537 | Davis Square Dental Specialists LLC | Dentist | 710 Chelmsford St, Lowell, MA 01851-5101 | 2019-11-20 |
| 1982067468 | Vishal Sohal | Dentist | 26 Wood St, Dental Dreams, Lowell, MA 01851 | 2016-04-01 |
| 1669886602 | Chitrang B. Patel | Dentist | 158 Wood St Unit 3, Lowell, MA 01851 | 2014-06-18 |
| 1104175702 | Lowell Dentistry, P.C. | Dentist | 195 Deanna Dr., Lowell, IN 46341-2402 | 2012-08-29 |
| 1992093868 | Shriji Smiles, Inc. | Dentist | 1245 Pawtucket Blvd, #5, Lowell, MA 01854-1927 | 2011-07-13 |
| 1205128105 | Thomas F Lucas | Dentist | 222 Stackpole St, #13, Lowell, MA 01852-1328 | 2011-05-10 |
| 1700029824 | Maryam Mandsaurwala | Dentist | 1201 Bridge St, Lowell, MA 01850-1293 | 2009-04-20 |
| 1992976112 | Dental Dreams, LLC | Dentist | 26 Wood St, Lowell, MA 01851-1519 | 2008-03-15 |
| 1588790067 | Lowell Family Dental Practice PC | Dentist | 133 Market Street, Lowell, MA 01852-1808 | 2007-02-26 |
| 1194875385 | Drs Athanasoulas & Pappey Associates In Dentistry Ihc | Dentist | 155 Market Street, Lowell, MA 01852 | 2007-01-11 |
| Find all providers in LOWELL | ||||
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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.