Active NPI
Thomas Keith, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Iowa City, IA
National Provider Identifier
1225579386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DDS-10260
- Practice address
- 200 Hawkins Drive
Oral and Maxillofacial Surgery
Iowa City, IA 52240 - Phone
- (319) 356-7339
- Fax
- (319) 353-6923
- NPI assigned
- Mar 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DDS-10260 | IA | Primary |
Addresses
Primary practice location
200 Hawkins Drive
Oral and Maxillofacial Surgery
Iowa City, IA 52240
Mailing address
200 Hawkins Drive
Oral and Maxillofacial Surgery
Iowa City, IA 52242
Phone (319) 356-7339
Other practice location 1
801 Newton Rd
Iowa City, IA 52242-1001
Phone (319) 335-7440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240812002910 | IA | Practitioner - Oral Surgery | 2668745803 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS-10260 | IA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1225579386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE",
"address_2": "ORAL AND MAXILLOFACIAL SURGERY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-356-7339",
"fax_number": "319-353-6923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE",
"address_2": "ORAL AND MAXILLOFACIAL SURGERY",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52240",
"telephone_number": "319-356-7339",
"fax_number": "319-353-6923"
}
],
"practiceLocations": [
{
"address_1": "801 Newton Rd",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421001",
"country_code": "US",
"telephone_number": "319-335-7440",
"fax_number": "319-335-7451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEITH",
"first_name": "THOMAS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-09",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IA",
"license": "DDS-10260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.