DR. JOHN B KELLER (NPI# 1912281965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912281965 |
| Entity Type | Individual |
| Full Name | DR. JOHN B KELLER |
| Credential | D.D.S. |
| Practice Address |
1701 Clearwater Ave Suite B Bloomington IL 61704-6433 |
| Practice Telephone | 3096627949 |
| Practice Fax Number | 3096646177 |
| Mailing Telephone | 3096627949 |
| Mailing Fax Number | 3096646177 |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019022829 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639212145 | John C Keller | Physical Therapist | 4601 Lake Boone Trl Ste 2e, Raleigh, NC 27607-7518 | 2007-02-14 |
| 1063563138 | John L Keller | Pharmacist | 500 Hwy 72nd West Rolla, Hillcrest Shopping Ctr, Rolla, MO 65401 | 2007-01-16 |
| 1588714141 | John Joseph Keller | Dentist | 552 East Main Street, Anoka, MN 55303 | 2007-01-12 |
| 1760562334 | John David Keller Iv | Dentist | 4920 Hononegah Rd, Roscoe, IL 61073-7778 | 2006-10-17 |
| 1770549065 | John L Keller | Chiropractor | 2988 W Huntsville Ave, Ste. C, Springdale, AR 72762-7726 | 2006-04-25 |
| 1962462937 | John A Keller | Specialist | 108 North Park Dr, Fayetteville, GA 30214 | 2006-03-24 |
| 1578556726 | John W Keller | Plastic Surgery | 1130 W 4th St Ste 3202, Lawrence, KS 66044-1328 | 2005-08-23 |
| 1467956433 | John Keller | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Emergency Medicine, Los Angeles, CA 90095-7419 | 2018-03-22 |
| 1316488463 | John Keller | Physician Assistant | 2211 E Franklin Blvd, Ste 100, Gastonia, NC 28054-4985 | 2017-03-08 |
| 1548674831 | John Keller | Physical Therapist | 4812 E 33rd St, Tulsa, OK 74135-2038 | 2014-06-16 |
| Street Address |
1701 CLEARWATER AVE SUITE B |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-6433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| 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 |
|---|---|---|---|---|
| 1972162527 | Pournawattie Andrea Chandradatt | Dentist | 7936 Portland Ave S, Bloomington, MN 55420-1315 | 2019-06-07 |
| 1336601756 | Neha Shah | Dentist | 17644 Valley Blvd Ste 1, Bloomington, CA 92316-3908 | 2019-04-03 |
| 1033689054 | Erick Esmenjaud D.d.s. Inc | Dentist | 18793 Valley Blvd Ste A-b, Bloomington, CA 92316-2253 | 2018-12-03 |
| 1336620160 | Mohamed Owais Sultan | Dentist | 857 S Auto Mall Rd Ste 4, Bloomington, IN 47401-5488 | 2018-08-29 |
| 1285184259 | Children's Center for Dentistry | Dentist | 2111 E Oakland Ave Ste C, Bloomington, IL 61701-5783 | 2016-10-13 |
| 1255783320 | Fatima Quadri | Dentist | 401 N Veterans Pkwy, Unit D, Bloomington, IL 61704-3550 | 2016-07-12 |
| 1528419686 | Brandt Allen Finney | Dentist | 2909 E Buick Cadillac Blvd, Bloomington, IN 47401-5443 | 2016-06-29 |
| 1942668702 | Point Family Dentistry | Dentist | 10611 France Ave S Ste 201, Bloomington, MN 55431-3554 | 2016-02-08 |
| 1710344494 | Bloomington Smiles Dentistry, PC | Dentist | 10700 France Avenue, Suite 102, Bloomington, MN 55437 | 2016-01-26 |
| 1497160204 | Jp Dental - Bloomington, LLC | Dentist | 409 S Dunn St, Bloomington, IN 47401-4822 | 2014-07-01 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on DR. JOHN B KELLER.
| 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.