Keith B Naylor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901011999 Issued in MI

Practice address

5090 Lovers Lane
Kalamazoo, MI 49002-1557

Phone

(269) 343-0778

Fax

(269) 343-1017

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1124169339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 LOVERS LANE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490021557",
            "telephone_number": "269-343-0778",
            "fax_number": "269-343-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 LOVERS LANE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490021557",
            "telephone_number": "269-343-0778",
            "fax_number": "269-343-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYLOR",
        "first_name": "KEITH",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901011999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Nass, RN
• Claudia Nathan
• National Vision, Inc.
• Shannon Naughton, DO
• Frederik Austin Naylor, LMSW
• Ana Carolina Nazari Bonezzi, MD
• Ahsan Nazeer, M.D.
• Nazanin Nazemi
• Joey Mark Neal, LIMITED LICENSE PSYC
• Tammella Sue Nearchou, LBSW

• General Practice Dentistry in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.