Organization Active NPI

Fredrick L Keyser III DDS PA

  • Dentist
  • Garner, NC
National Provider Identifier
1679765572
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5926 Issued in NC
Legal business name
FREDRICK L KEYSER III DDS PA
Practice address
607 Benson Rd
Garner, NC 27529-3988
Phone
(919) 772-1811
Fax
(919) 772-0002
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Dr. Fredrick L Keyser III, DDS
Title
Dentist
Phone
(919) 772-1811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 5926 NC Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2928 SC

Addresses

Primary practice location

607 Benson Rd
Garner, NC 27529-3988

Mailing address

607 Benson Rd
Garner, NC 27529-3988
Phone (919) 772-1811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1679765572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 BENSON RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293988",
            "telephone_number": "919-772-1811",
            "fax_number": "919-772-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BENSON RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293988",
            "telephone_number": "919-772-1811",
            "fax_number": "919-772-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDRICK L KEYSER III DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "KEYSER",
        "authorized_official_first_name": "FREDRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-772-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5926",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.