Individual provider Active NPI

Keith A Mays, DDS, MS, PHD

  • Prosthodontics
  • Greenville, NC
National Provider Identifier
1639437163
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
9267 Issued in NC
Practice address
Lakeside Annex 7, Ms 701
East Carolina University School of Dentistry
Greenville, NC 27834
Phone
(252) 737-7037
NPI assigned
May 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 9267 NC Primary

Addresses

Primary practice location

Lakeside Annex 7, Ms 701
East Carolina University School of Dentistry
Greenville, NC 27834

Mailing address

Lakeside Annex 7, Ms 701
East Carolina University School of Dentistry
Greenville, NC 27834
Phone (252) 737-7037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151110001031 MN Practitioner - Oral Surgery 5193035814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9267NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Minnesota CurrentSince Sep 19, 2015 Accepting new patients
Regents of the University of Minnesota CurrentSince Sep 19, 2015 Accepting new patients
Regents of the University of Minnesota Current Accepting new patients

Locations

515 Delaware St SE
Ste 7-521
Minneapolis, MN 55455

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1639437163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAKESIDE ANNEX 7, MS 701",
            "address_2": "EAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-737-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKESIDE ANNEX 7, MS 701",
            "address_2": "EAST CAROLINA UNIVERSITY SCHOOL OF DENTISTRY",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-737-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "KEITH",
        "middle_name": "A",
        "credential": "DDS, MS, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NC",
            "license": "9267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.