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NPI · 1063759652 · NPPES-sourced

Dr. Jack Keen M.D.

ActiveSpecialist
NPI Number
1063759652
Type 1 · Individual
Taxonomy Code
174400000X
Contact
(817) 512-3006
License TX · G4144
Last Updated
About 13 years ago (Jan 2013)
Enumerated 2013-01-15
Primary practice addressTX · 76035-5628
408 Stone Mountain CtCresson, TX 76035-5628
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About this NPIWhat this record shows.

NPI 1063759652 is registered to Dr. Jack Keen M.D., a Specialist practising at 408 Stone Mountain Ct in Cresson, Texas. Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Jack Keen M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2013.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2013-01-15
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Jack Keen M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Jack Keen M.D. directly at (817) 512-3006.

Frequently asked

Yes. NPI 1063759652 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Specialist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (817) 512-3006.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Jack Keen M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy174400000X
Last updated2013-01
Enumerated2013-01-15
StatusActive
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