Organization Active NPI

Daniel J. Keith, DDS, Ms, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bismarck, ND
National Provider Identifier
1245773233
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2082 Issued in ND
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

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Dr. Daniel James Keith, DDS, MSNPI 1578804167
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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1464024MedicaidND

Other names 1

  • DK Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.