Scott William Keith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4350 Issued in AZ

Practice address

740 E Highland Ave
Suite #200
Phoenix, AZ 85014-3649

Phone

(602) 264-0707

Fax

(602) 266-8102

NPI assigned

Mar 25, 2007

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

Medicare fee-for-service enrollment

Enrolled in AZ

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.

• Scott W. Keith, DDS & Associates, PC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1730368309
  NPD (past) Authorized official
• Highland Avenue Dental PLLC

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1063169324
  NPD (past)

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194842989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 E SAN SALVADOR DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585621",
            "telephone_number": "480-391-0712",
            "fax_number": "480-391-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E HIGHLAND AVE",
            "address_2": "SUITE #200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143649",
            "telephone_number": "602-264-0707",
            "fax_number": "602-266-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lee Keim
• Krista Kaye Keiper
• Jenna Elaine Keister, PHARM.D.
• Keith E Morris MD PLC
• Jacob Bradley Keith, AGACNP
• Tricia Keith, PTA
• Onel Kejee, MD
• Kumudini Kelkar, DPT
• Christopher N Kellam, TSLP
• Brenda Kelleher, LCSW, LICSW

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• 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.