NPIMap

Organization Active NPI

Keith & Wilson DDS, PA

Doing business as Keith & Associates Dentistry

  • Dentist
  • Mission, KS
National Provider Identifier
1366594087
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6484 Issued in KS
Legal business name
KEITH & WILSON DDS, PA
Doing business as
Keith & Associates Dentistry
Practice address
6299 Nall Ave
Suite 200
Mission, KS 66202
Phone
(913) 384-0044
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Dr. Donald Leo Keith, DDSNPI 1275748014
Title
President
Phone
(913) 384-0044

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6484 KS Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 5953 KS

Addresses

Primary practice location

6299 Nall Ave
Suite 200
Mission, KS 66202

Mailing address

6299 Nall
Suite 200
Mission, KS 66202
Phone (913) 384-0044

Other names 1

  • Keith & Associates Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1366594087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6299 NALL",
            "address_2": "SUITE 200",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "66202",
            "telephone_number": "913-384-0044",
            "fax_number": "913-432-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6299 NALL AVE",
            "address_2": "SUITE 200",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "66202",
            "telephone_number": "913-384-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH & WILSON DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-384-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "6484",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KS",
            "license": "5953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keith & Associates Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.