Keith D. Chambers, D.M.D.,P.S.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6660 Issued in KY

Legal business name

KEITH D. CHAMBERS, D.M.D.,P.S.C.

Practice address

401 Bogle St
Suite 204
Somerset, KY 42503-2850

Phone

(606) 451-0888

Fax

(606) 451-0889

NPI assigned

Mar 17, 2006

Organization subpart

No

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

Authorized official

Name

Keith Chambers, D.M.D.

Title

Owner/President

Phone

(606) 451-0888

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124097365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST",
            "address_2": "SUITE 204",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032850",
            "telephone_number": "606-451-0888",
            "fax_number": "606-451-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOGLE ST",
            "address_2": "SUITE 204",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032850",
            "telephone_number": "606-451-0888",
            "fax_number": "606-451-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH D. CHAMBERS, D.M.D.,P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "606-451-0888",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "6660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65937088",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900577",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Thomas Kavanagh, MD
• KBC Somerset Imaging PLLC
• Emily Keck
• Gage Keck, DO
• Tiffany Keck, APRN
• Keith Sinclair MD PLLC
• Andrew J Keith, MPA, M.ED, LPCC
• Jeana Lee Keith, APRN-CNP
• Melinda Marie Keith, CPSS
• Paula Keith

• Oral and Maxillofacial Surgery (Dentist) in Somerset, KY
• Providers in Somerset, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.