DR. JEFF G. KEELING (NPI# 1689641862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689641862 |
| Entity Type | Individual |
| Full Name | DR. JEFF G. KEELING |
| Credential | DDD,MS,PA |
| Practice Address |
5203 79th St Suite A Lubbock TX 79424-2850 |
| Practice Telephone | 8067981043 |
| Practice Fax Number | 8067987691 |
| Mailing Telephone | 8067981043 |
| Mailing Fax Number | 8067987691 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
11426 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 0089500-01 | 05 |
| Street Address |
5203 79TH ST SUITE A |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851514863 | James Thomas St Clair | Dentist | 5203 79th St, Suite H, Lubbock, TX 79424-2850 | 2007-04-10 |
| 1700947355 | John Robert St Clair | Dentist | 5203 79th St, Suite H, Lubbock, TX 79424-2850 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326379777 | John Francis Brown | Dentist | 2430 Quaker Ave, Lubbock, TX 79410-1834 | 2010-01-25 |
| 1902013881 | St. Clair and St. Clair Orthodontics | Dentist | 5203 79th St Ste H, Lubbock, TX 79424-2894 | 2007-05-17 |
| 1992928246 | Joe Forsman | Dentist | 6400 Quaker Ave, Lubbock, TX 79413-5143 | 2007-04-11 |
| 1740364074 | Edwin Clarence Wentz | Dentist | 4013-84th, Lubbock, TX 79423 | 2006-10-24 |
| 1891227831 | Nicole Kim | Dentist | 2903 50th St, Lubbock, TX 79413-4323 | 2017-03-29 |
| 1679028484 | Christopher Carrel Massey | Dentist | 5203 79th St Ste H, Lubbock, TX 79424-2894 | 2016-08-22 |
| 1669867263 | Braces Braces Braces of Abbeville - Lubbock Pllc | Dentist | 3801 50th St, Suite 15, Lubbock, TX 79413-3807 | 2015-03-31 |
| 1780938902 | Claudio Caycedo Dds, Pa | Dentist | 2430 Quaker Ave, Lubbock, TX 79410-1834 | 2012-11-09 |
| 1255660460 | Derid Ure | Dentist | 4601 50th St, Suite 206, Lubbock, TX 79414-3513 | 2009-12-17 |
| 1205062296 | Stephen Joseph Breaud | Dentist | 4630 50th St, Ste 505, Lubbock, TX 79414-3521 | 2009-06-03 |
| Find all providers in LUBBOCK | ||||
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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.