Active NPI
Keaton Taber
- Family Medicine Physician
- Chesterfield, MO
National Provider Identifier
1447176540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2026028859
- Practice address
- 224 S Woods Mill Rd Ste 680S
Chesterfield, MO 63017-3477 - Phone
- (314) 864-3203
- NPI assigned
- Jun 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2026028859 | MO | Primary |
Addresses
Primary practice location
224 S Woods Mill Rd Ste 680S
Chesterfield, MO 63017-3477
Mailing address
17026 Old Hollow Dr
Wildwood, MO 63040-1144
Phone (417) 437-7916
Other practice location 1
6420 The Cedars Ct
Cedar Hill, MO 63016-2222
Phone (636) 274-2700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1447176540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17026 OLD HOLLOW DR",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630401144",
"telephone_number": "417-437-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 S WOODS MILL RD STE 680S",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630173477",
"telephone_number": "314-864-3203"
}
],
"practiceLocations": [
{
"address_1": "6420 The Cedars Ct",
"address_purpose": "LOCATION",
"city": "Cedar Hill",
"state": "MO",
"postal_code": "630162222",
"country_code": "US",
"telephone_number": "636-274-2700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TABER",
"first_name": "KEATON",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-24",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2026028859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.