DR. JOHN B KELLER D.D.S.
NPI 1912281965
Dentist - General Practice in Bloomington, IL

Q: What is John Keller's NPI number?

The NPI number for John Keller is 1912281965. It was assigned to this individual provider in the NPPES registry on October 7, 2011.

Q: What is John Keller'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 John Keller was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 October 07, 2011

1701 CLEARWATER AVE, SUITE B, BLOOMINGTON, IL 61704(309) 662-7949(309) 664-6177 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. John B Keller D.d.s. NPPES

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

DR. JOHN B KELLER D.D.S. (NPI 1912281965) is an individual general practice provider in Bloomington, Illinois, licensed in Illinois (019022829) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1912281965

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JOHN B KELLERCredential: D.D.S.

Location Address1701 CLEARWATER AVE, SUITE BBloomington, IL 61704-6433

Mailing Address1701 Clearwater Ave, Suite BBloomington, IL 61704-6433 · (309) 662-7949 · Fax (309) 664-6177

Phone(309) 662-7949

Fax(309) 664-6177

Sole ProprietorNo

Enumeration DateOctober 7, 2011

✔ NPI 1912281965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019022829

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.

1701 CLEARWATER AVE, Bloomington, IL 61704

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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 John Keller's NPI number?

The NPI number for John Keller is 1912281965. It was assigned to this individual provider in the NPPES registry on October 7, 2011.

Where is John Keller located?

John Keller practices at 1701 Clearwater Ave Suite B, Bloomington, IL 61704. The listed phone number is (309) 662-7949.

What is John Keller's specialty?

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

When was this NPI record last updated?

The NPPES record for John Keller was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.