Active NPI
Daniel J. Keith, DDS, Ms, PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bismarck, ND
National Provider Identifier
1245773233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 2082
- Legal business name
- DANIEL J. KEITH, DDS, MS, PC
- Practice address
- 4401 Coleman St
Suite 105
Bismarck, ND 58503-1370 - Phone
- (701) 751-8444
- NPI assigned
- Nov 23, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel James Keith, DDS, MS
- Title
- Orthodontists - Business Owner
- Phone
- (701) 751-8444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2082 | ND | Primary |
Addresses
Primary practice location
4401 Coleman St
Suite 105
Bismarck, ND 58503-1370
Mailing address
4401 Coleman St
Suite 105
Bismarck, ND 58503-1370
Phone (701) 751-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1464024 | Medicaid | ND |
Other names 1
- DK Orthodontics
National Provider Directory
National Provider DirectoryLocations
4401 Coleman St
Ste 105
Bismarck, ND 58503
Phone (701) 471-5671
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bismarck, ND
- NPI 1578804167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479859200000",
"number": "1245773233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 COLEMAN ST",
"address_2": "SUITE 105",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031370",
"telephone_number": "701-751-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 COLEMAN ST",
"address_2": "SUITE 105",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031370",
"telephone_number": "701-751-8444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL J. KEITH, DDS, MS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-23",
"last_updated": "2016-11-23",
"status": "A",
"authorized_official_last_name": "KEITH",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "ORTHODONTISTS - BUSINESS OWNER",
"authorized_official_telephone_number": "701-751-8444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS, MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "ND",
"license": "2082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1464024",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DK Orthodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.