Active NPI
W Keith Kirkland
Doing business as charleston family dental
- Dentist
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2806
- Legal business name
- W KEITH KIRKLAND
- Doing business as
- charleston family dental
- Practice address
- 2170 Savannah Hwy
Charleston, SC 29414-5311 - Phone
- (843) 571-0117
- Fax
- (843) 571-0952
- NPI assigned
- Feb 26, 2008
- Last updated
- Jul 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. W. Keith Kirkland, DMD
- Title
- Owner
- Phone
- (843) 571-0117
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2806 | SC | Primary |
Addresses
Primary practice location
2170 Savannah Hwy
Charleston, SC 29414-5311
Mailing address
2170 Savannah Hwy
Charleston, SC 29414-5311
Phone (843) 571-0117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA9576 | Medicaid | SC |
Other names 1
- charleston family dental
National Provider Directory
National Provider DirectoryLocations
2170 Savannah Hwy
Charleston, SC 29414
Phone (843) 571-0117
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Charleston, SC
- NPI 1093803439
-
- General Practice Dentistry
- Charleston, SC
- NPI 1437249539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1083883961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 SAVANNAH HWY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145311",
"telephone_number": "843-571-0117",
"fax_number": "843-571-0952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 SAVANNAH HWY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145311",
"telephone_number": "843-571-0117",
"fax_number": "843-571-0952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "W KEITH KIRKLAND",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-26",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "KIRKLAND",
"authorized_official_first_name": "W. KEITH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-571-0117",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "2806",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9576",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "charleston family dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.