DR. GOODLOE MALONE KELTNER JR. D.D.S.
NPI 1760520241
Dentist - General Practice in Memphis, TN

Q: What is Goodloe Keltner's NPI number?

The NPI number for Goodloe Keltner is 1760520241. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Goodloe Keltner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Goodloe Keltner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 05, 2007PECOS Enrolled

5866 RIDGE BEND RD, SUITE 2, MEMPHIS, TN 38120(901) 680-0364(901) 680-0368 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Goodloe Malone Keltner Jr. D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GOODLOE MALONE KELTNER JR. D.D.S. (NPI 1760520241) is an individual general practice provider in Memphis, Tennessee, licensed in Tennessee (DS3766) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760520241

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GOODLOE MALONE KELTNER JR.Credential: D.D.S.

Location Address5866 RIDGE BEND RD, SUITE 2Memphis, TN 38120-9477

Mailing Address5866 Ridge Bend Rd, Suite 2Memphis, TN 38120-9477 · (901) 680-0364 · Fax (901) 680-0368

Phone(901) 680-0364

Fax(901) 680-0368

Sole ProprietorYes

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1760520241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · DS3766

Definition

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.

5866 RIDGE BEND RD, Memphis, TN 38120

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Goodloe Malone Keltner Jr. D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM RAYFORD PRIESTER III DDS

Dentist (Prosthodontics)

5866 RIDGE BEND RD, SUITE 1
MEMPHIS, TN 38120

Shelby County (901) 767-8759

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Goodloe Keltner's NPI number?

The NPI number for Goodloe Keltner is 1760520241. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Goodloe Keltner located?

Goodloe Keltner practices at 5866 Ridge Bend Rd Suite 2, Memphis, TN 38120. The listed phone number is (901) 680-0364.

What is Goodloe Keltner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Goodloe Keltner enrolled in Medicare?

Yes. Goodloe Keltner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Goodloe Keltner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.