Active NPI
James Alvin Keith Jr., DDS
- Dentist
- Alpharetta, GA
National Provider Identifier
1649256108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN014194
- Practice address
- 11770 Haynes Bridge Rd
605
Alpharetta, GA 30009-1966 - Phone
- (678) 689-0025
- NPI assigned
- Dec 16, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401410916 | VA | |
| Dentist | 122300000X | DN014194 | GA | Primary |
Addresses
Primary practice location
11770 Haynes Bridge Rd
605
Alpharetta, GA 30009-1966
Mailing address
11770 Haynes Bridge Rd
605
Alpharetta, GA 30009-1966
Phone (678) 689-0025
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN014194 | GA | MD | Dentist |
| 0401410916 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1649256108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11770 HAYNES BRIDGE RD",
"address_2": "605",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300091966",
"telephone_number": "678-689-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11770 HAYNES BRIDGE RD",
"address_2": "605",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300091966",
"telephone_number": "678-689-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "JAMES",
"middle_name": "ALVIN",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401410916",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN014194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.