Organization Active NPI

W Keith Kirkland

Doing business as charleston family dental

  • Dentist
  • Charleston, SC
National Provider Identifier
1083883961
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2806 Issued in SC
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. W. Keith Kirkland, DMDNPI 1093803439
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZA9576MedicaidSC

Other names 1

  • charleston family dental Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.