DR. WILLIAM JEFFREY KEETON (NPI# 1518457001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518457001 |
Entity Type | Individual |
Full Name | DR. WILLIAM JEFFREY KEETON |
Credential | DDS |
Practice Address |
75-1028 Henry St Ste 102 Kailua Kona HI 96740-1693 |
Practice Telephone | 8084435203 |
Mailing Telephone | 8084435203 |
Enumeration Date | 2018-05-10 |
Last Update Date | 2020-08-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DT-2862 | HI | Dental Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
20 York Street, Ynhh - Pediatric Dentistry, New Haven, CT 065103220 | 2036884242 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386902914 | William Roger Keeton | Home Health Aide | 2312 Rhode Island Ave Ne, Washington, DC 20018-2829 | 2012-05-02 |
1932284072 | William Presley Keeton IIi | Psychologist | 22593 Three Notch Rd, California, MD 20619-3054 | 2006-10-26 |
1114973021 | William F Keeton | Pain Medicine | 1800 Peachtree St Nw, Suite 400, Atlanta, GA 30309-2519 | 2006-05-25 |
Street Address |
75-1028 HENRY ST STE 102 |
City | KAILUA KONA |
State | HI |
Zip Code | 96740-1693 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639653108 | Brielle Jean Hoisington | Dentist | 75-1028 Henry St Ste 102, Kailua Kona, HI 96740-1693 | 2018-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
Find all providers in zip 96740 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578999025 | Ronald Hirata | Dentist | 75-5845 Alii Dr, Kailua Kona, HI 96740-1329 | 2013-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598304198 | Malama Dental 4 Kids, LLC | Dentist | 275 Ponahawai St Ste 204, Hilo, HI 96720-3074 | 2019-12-30 |
1043744170 | Smiles for Keiki Pediatric Dentistry, LLC | Dentist | 77-135 Kalaniuka St, Holualoa, HI 96725-9729 | 2017-04-15 |
1184179350 | Patricia Sanchez Puche | Dentist | 3-3359 Kuhio Hwy, Lihue, HI 96766-1061 | 2016-08-17 |
1215481379 | Dean T. Sueda, D.d.s., M.s. Inc | Dentist | 1020 Kakala St, 801, Kapolei, HI 96707-4546 | 2016-08-06 |
1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
1184046716 | Keiki Dental Specialists | Dentist | 1302 Moanalualani Ct Apt D, Honolulu, HI 96819-1221 | 2014-01-16 |
1861734774 | Thomas Matthew Griffith | Dentist | 2530 Kilauea Ave, Hilo, HI 96720-5613 | 2013-03-19 |
1902152713 | Michelle S. Chung | Dentist | 4211 Waialae Ave Ste 405, Honolulu, HI 96816-5317 | 2012-07-30 |
1922337765 | Howard Y Kim Dds Inc | Dentist | 642 Ulukahiki St Ste 308, Kailua, HI 96734-4439 | 2009-12-07 |
1497982706 | Clyde Y. Uchida, D.d.s., M.s., Inc. | Dentist | 4211 Waialae Ave Ste 3070, Honolulu, HI 96816-5343 | 2009-06-12 |
Find all providers with the same taxonomy |
City | KAILUA KONA |
Zip Code | 96740 |
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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.