Active NPI
Matthew Keeffer, DMD
- Dentist
- Clearfield, UT
National Provider Identifier
1528419041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5925613-9922
- Practice address
- 1435 S 1350 E
Clearfield, UT 84015-1300 - Phone
- (801) 773-6170
- Fax
- (801) 773-3371
- NPI assigned
- Jun 27, 2016
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5925613-9922 | UT | Primary |
Addresses
Primary practice location
1435 S 1350 E
Clearfield, UT 84015-1300
Mailing address
1435 S 1350 E
Clearfield, UT 84015-1300
Phone (801) 773-6170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160929002574 | UT | Order and Referring Only - Other (Non-Physician) | 1557658812 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1528419041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 S 1350 E",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840151300",
"telephone_number": "801-773-6170",
"fax_number": "801-773-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 S 1350 E",
"city": "CLEARFIELD",
"state": "UT",
"postal_code": "840151300",
"telephone_number": "801-773-6170",
"fax_number": "801-773-3371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEFFER",
"first_name": "MATTHEW",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "5925613-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearfield, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.