Active NPI
Keith Adams Dewindt, D.M.D.
- Dentist
- Palm Beach Gardens, FL
National Provider Identifier
1083954036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN8411
- Practice address
- 2700 P G a Blvd
Suite 202
Palm Beach Gardens, FL 33410-2958 - Phone
- (561) 622-6100
- Fax
- (561) 622-6107
- NPI assigned
- Feb 27, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN8411 | FL | Primary |
Addresses
Primary practice location
2700 P G a Blvd
Suite 202
Palm Beach Gardens, FL 33410-2958
Mailing address
2700 P G a Blvd
Suite 202
Palm Beach Gardens, FL 33410-2958
Phone (561) 622-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160211001010 | FL | Order and Referring Only - Dentist | 4587968532 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN8411 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Keith a Dewindt PA | Past | Accepting new patients | |
| Stevens Dental PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Palm Beach Gardens, FL
- NPI 1700977162
-
- Dental Clinic/Center
- Palm Beach Gardens, FL
- NPI 1730748765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1083954036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 P G A BLVD",
"address_2": "SUITE 202",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102958",
"telephone_number": "561-622-6100",
"fax_number": "561-622-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 P G A BLVD",
"address_2": "SUITE 202",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102958",
"telephone_number": "561-622-6100",
"fax_number": "561-622-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWINDT",
"first_name": "KEITH",
"middle_name": "ADAMS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-27",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN8411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.