Organization Active NPI

Keith R.R. Gaught, DDS, PA

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1306482104
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
Dr. Keith Richard Reuben Gaught, DDSNPI 1932435252
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.