Organization Active NPI

David K. Keith DO LLC

  • Family Medicine Physician
  • Barberton, OH
National Provider Identifier
1073715447
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-007169 Issued in OH
Legal business name
DAVID K. KEITH DO LLC
Practice address
28 Conservatory Dr
Suite B
Barberton, OH 44203-4275
Phone
(330) 861-4100
Fax
(330) 861-0987
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Kevin Keith, D.O
Title
Owner
Phone
(330) 861-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34-007169 OH Primary

Addresses

Primary practice location

28 Conservatory Dr
Suite B
Barberton, OH 44203-4275

Mailing address

28 Conservatory Dr
Suite B
Barberton, OH 44203-4275
Phone (330) 861-4100

Other identifiers 1

IdentifierTypeStateIssuer
2262813MedicaidOH

National Provider Directory

National Provider Directory

Locations

28 Conservatory Dr
Ste B
Norton, OH 44203
Phone (330) 861-4100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1073715447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CONSERVATORY DR",
            "address_2": "SUITE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034275",
            "telephone_number": "330-861-4100",
            "fax_number": "330-861-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CONSERVATORY DR",
            "address_2": "SUITE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034275",
            "telephone_number": "330-861-4100",
            "fax_number": "330-861-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID K. KEITH DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-861-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-007169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2262813",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.