Individual provider Active NPI

Scott Thomas Keys, DDS

  • General Practice Dentistry
  • Idaho Springs, CO
National Provider Identifier
1255480208
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
204434 Issued in CO
Practice address
521 Colorado Blvd
Idaho Springs, CO 80452-5046
Phone
(303) 567-4412
Fax
(303) 567-4389
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4970 LA
General Practice Dentistry 1223G0001X 24431 TX
General Practice Dentistry 1223G0001X 204434 CO Primary

Addresses

Primary practice location

521 Colorado Blvd
Idaho Springs, CO 80452-5046

Mailing address

2160 Airline Dr Ste B
Bossier City, LA 71111-3173
Phone (318) 747-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
204434COMDGeneral Practice Dentistry
4970LAMDGeneral Practice Dentistry
24431TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Keysdentalco., PLLC Is Current Accepting new patients
Keysdentalco., PLLC WP Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1255480208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 AIRLINE DR STE B",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113173",
            "telephone_number": "318-747-5444",
            "fax_number": "318-747-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 COLORADO BLVD",
            "city": "IDAHO SPRINGS",
            "state": "CO",
            "postal_code": "804525046",
            "telephone_number": "303-567-4412",
            "fax_number": "303-567-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYS",
        "first_name": "SCOTT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4970",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24431",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "204434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.