Active NPI
Keith A Mays, DDS, MS, PHD
- Prosthodontics
- Greenville, NC
National Provider Identifier
1639437163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 9267
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9267 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Minnesota | Current | Accepting new patients | |
| Regents of the University of Minnesota | Current | 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.
-
- Dental Clinic/Center
- Minneapolis, MN
- NPI 1457448615
-
- Federally Qualified Health Center (FQHC)
- Minneapolis, MN
- NPI 1114019858
-
- Clinic Pharmacy
- Minneapolis, MN
- NPI 1528288875
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.