Active NPIIndividual providerSole proprietor

Dr. John J Keating IV, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Pueblo, Colorado

NPI Number1245599703
Practice location
3821 W Pueblo Blvd, Pueblo, CO 81005-2713
Fax
—
Last updated
March 17, 2018

John J Keating is a Dentist, Orthodontics and Dentofacial Orthopedics based in Pueblo, CO. John J Keating practices in Pueblo, CO and has the professional credentials of DMD. The NPI Number for John J Keating is 1245599703 and holds a License No. 22DI02497500 (NJ). The current practice location address for John J Keating is 3821 W Pueblo Blvd, Pueblo, CO 81005-2713 and can be reached out via phone at 719-564-6467.

Provider Profile Details

NPI Number
1245599703
Provider Name
John J Keating
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
3821 W Pueblo Blvd, Pueblo, CO 81005-2713
Phone Number
719-564-6467
Sole Proprietor
Yes
Provider Enumeration Date
May 3, 2012
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
3821 W Pueblo Blvd
Pueblo, CO 81005-2713
City
Pueblo
Zip
81005-2713
Phone Number
719-564-6467
Pueblo, CO 81005Get directions →

Provider Business Mailing Address Details

Address
3821 W Pueblo Blvd
Pueblo, CO 81005-2713
City
Pueblo
State
CO
Zip
81005-2713

License Information

License Number (1)
22DI02497500
License State (1)
NJ
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (2)
DEN.00203355
License State (2)
CO
Taxonomy (2)
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John J Keating IV, DMD?

The NPI number of Dr. John J Keating IV, DMD is 1245599703. It was assigned on May 3, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. John J Keating IV, DMD?

Dr. John J Keating IV, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number 22DI02497500.

Where does Dr. John J Keating IV, DMD practice?

The practice location is 3821 W Pueblo Blvd, Pueblo, CO 81005-2713. The office can be reached at 719-564-6467 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245599703 directly on the NPPES registry website.

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