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CHRISTOPHER TIMOTHY KEENAN D.D.S
NPI 1962404301
Dentist - Dental Public Health in Summerville, GA

Active since August 15, 2005PECOS Enrolled
64 STOCKADE RD, SUMMERVILLE, GA 30747(706) 857-2323(706) 857-7041 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christopher Timothy Keenan D.d.s NPPES

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

CHRISTOPHER TIMOTHY KEENAN D.D.S (NPI 1962404301) is an individual dental public health provider in Summerville, Georgia, licensed in Georgia (DN013152) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962404301
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameCHRISTOPHER TIMOTHY KEENANCredential: D.D.S
Location Address64 STOCKADE RDSummerville, GA 30747-1900
Mailing Address810 River Rush DrSugar Hill, GA 30518-7462 · (770) 826-7710 · Fax (706) 857-7041
Phone(706) 857-2323
Fax(706) 857-7041
Sole ProprietorYes
Enumeration DateAugust 15, 2005
Last NPPES UpdateNovember 14, 2007
✔ NPI 1962404301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in GA · DN013152
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN013152 (GA)
64 STOCKADE RD, Summerville, GA 30747
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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)

Christopher Timothy Keenan 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 30747 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

ABIGAIL FAUL
Dentist
64 STOCKADE RD
SUMMERVILLE, GA 30747
Chattooga County (706) 857-2323

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 Christopher Keenan's NPI number?

The NPI number for Christopher Keenan is 1962404301. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Christopher Keenan located?

Christopher Keenan practices at 64 Stockade Rd, Summerville, GA 30747. The listed phone number is (706) 857-2323.

What is Christopher Keenan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Christopher Keenan enrolled in Medicare?

Yes. Christopher Keenan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christopher Keenan was last updated on November 14, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.