Keith Allan Colwell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5559 Issued in IA

Practice address

6057 SE 14TH St
Des Moines, IA 50320-1704

Phone

(515) 285-4759

Fax

(515) 287-2948

NPI assigned

Nov 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Keith a Colwell DDS PC

  • Dentist
  • Des Moines, IA
  • NPI 1063691962
  NPD (past) Authorized official
• Tae HJ Barto DDS

  • General Practice Dentistry
  • Des Moines, IA
  • NPI 1669738902
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114098340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9513 NW NEWGATE DR",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312959",
            "telephone_number": "515-986-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6057 SE 14TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503201704",
            "telephone_number": "515-285-4759",
            "fax_number": "515-287-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWELL",
        "first_name": "KEITH",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "5559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005942",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005942",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collin E. Pehde DPM, PLLC
• Amanda Leigh Collins Messman, PH.D.
• Teri Lynn Collins, RD LD
• Robert Austin Colman, M.D.
• Colorado Chiropractic and Sports Injury Center, LLC
• Kimberly Comer, LMSW
• Comfor Caring LLC
• Comfort Caring LLC
• Community Access & Life Management, Inc
• Community and Family Resources

• General Practice Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.