Individual provider Active NPI

David C Keim, DDS

  • General Practice Dentistry
  • Kalispell, MT
National Provider Identifier
1083785752
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2195 Issued in MT
Practice address
795 Sunset Blvd
Kalispell, MT 59901-3699
Phone
(406) 752-8081
Fax
(406) 752-8083
NPI assigned
Nov 13, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2195 MT Primary

Addresses

Primary practice location

795 Sunset Blvd
Kalispell, MT 59901-3699

Mailing address

795 Sunset Blvd
Kalispell, MT 59901-3699
Phone (406) 752-8081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2195MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
4Eagle Dental Group PLLP Current Accepting new patients
Glacier Dental Group, PC General Practice CurrentSince Feb 23, 2025 Accepting new patients

Locations

1228 Whitefish Stage
Kalispell, MT 59901
Phone (406) 752-8081

795 Sunset Blvd
Kalispell, MT 59901
Phone (406) 752-8081

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083785752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 SUNSET BLVD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013699",
            "telephone_number": "406-752-8081",
            "fax_number": "406-752-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 SUNSET BLVD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013699",
            "telephone_number": "406-752-8081",
            "fax_number": "406-752-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIM",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.