Keith Wilcox Sleeper, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901018163 Issued in MI

Practice address

5095 Rifle River TRL
Alger, MI 48610-9327

Phone

(989) 873-5152

NPI assigned

Oct 10, 2005

Last updated

Oct 6, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: keith.sleeper@direct.sterlinghealth.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Sterling, MI
  • NPI 1477538239
  Medicare reassignment NPD
• Sterling Area Health Center

  dba Surline School Wellness Program

  • Federally Qualified Health Center (FQHC)
  • West Branch, MI
  • NPI 1588559421
  NPD
• Sterling Area Health Center

  • Federally Qualified Health Center (FQHC)
  • Alger, MI
  • NPI 1689659450
  NPD

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1255329660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 RIFLE RIVER TRL",
            "city": "ALGER",
            "state": "MI",
            "postal_code": "486109327",
            "telephone_number": "616-450-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 RIFLE RIVER TRL",
            "city": "ALGER",
            "state": "MI",
            "postal_code": "486109327",
            "telephone_number": "989-873-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEEPER",
        "first_name": "KEITH",
        "middle_name": "WILCOX",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4324787",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Oboyle, BA
• Cindy Therese Pepin, RN
• Breann Phaneuf
• Tracy Lee Pittman, DENTAL HYGIENIST
• Deborah L Richardson, N.P.
• Kelly Ann Smith, RDH
• Sterling Area Health Center
• Daniel A Talbot Jr.

• General Practice Dentistry in Alger, MI
• Providers in Alger, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.