Active NPI
Keith R.R. Gaught, DDS, PA
- General Practice Dentistry
- Raleigh, NC
National Provider Identifier
1306482104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KEITH R.R. GAUGHT, DDS, PA
- Practice address
- 7718 Six Forks Road
Suite 110
Raleigh, NC 27615-5072 - Phone
- (919) 847-6453
- NPI assigned
- Nov 27, 2019
- 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. Keith Richard Reuben Gaught, DDS
- Title
- President
- Phone
- (919) 847-6453
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
7718 Six Forks Road
Suite 110
Raleigh, NC 27615-5072
Mailing address
101 Hedwig CT
Cary, NC 27518-8693
Phone (219) 916-6119
National Provider Directory
National Provider DirectoryLocations
7718 Six Forks Rd
Ste 110
Raleigh, NC 27615
Phone (919) 676-4749
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Raleigh, NC
- NPI 1932435252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629417600000",
"number": "1306482104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HEDWIG CT",
"city": "CARY",
"state": "NC",
"postal_code": "275188693",
"telephone_number": "219-916-6119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7718 SIX FORKS ROAD",
"address_2": "SUITE 110",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155072",
"telephone_number": "919-847-6453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEITH R.R. GAUGHT, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-27",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A",
"authorized_official_last_name": "GAUGHT",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "RICHARD REUBEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-847-6453",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.