Dr. Keith Eveland

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

1219 Issued in NH

Legal business name

DR. KEITH EVELAND

Practice address

111 Bow Street
Portsmouth, NH 03801

Phone

(603) 433-5677

Fax

(603) 433-6279

NPI assigned

Apr 13, 2007

Organization subpart

No

Name

Dr. Keith Ware EvelandNPI 1235274812

Title

Owner

Phone

(603) 433-5677

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Ware Eveland, DMD

  • Pediatric Dentistry
  • Portsmouth, NH
  • NPI 1235274812
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184849598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BOW ST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-433-5677",
            "fax_number": "603-433-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BOW STREET",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-433-5677",
            "fax_number": "603-433-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEITH EVELAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVELAND",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "WARE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-433-5677",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "1219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89191631",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Doyle
• Christopher Doyon
• Dr Young Park PC
• Dr. Barry F. McArdle General Dentist, PA
• Dr. Emery Ward, DDS PLLC
• Dr. Viena Posada DMD
• Lori Drahota, BA
• Sarah Drake
• Peter Drakopoulos
• Michelle Dressler, DMD

• All providers in Portsmouth, NH
• Pediatric Dentistry in New Hampshire

• 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.