Keith H Tam, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

57293 Issued in CA

Practice address

570 E Betteravia Rd Ste C
Santa Maria, CA 93454-8851

Phone

(805) 922-2888

NPI assigned

Jul 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Keith H Tam DDS Inc

  • Pediatric Dentistry
  • Newport Beach, CA
  • NPI 1497009831
  NPD Authorized official
• Tam & Cottrell Dental Partnership

  • Pediatric Dentistry
  • Santa Maria, CA
  • NPI 1437872777
  NPD Authorized official
• Keith Tam DDS Professional Corp

  • Dentist
  • Santa Maria, CA
  • NPI 1922541481
  NPD (past) Authorized official
• Ktam DDS Dental Corp

  • Pediatric Dentistry
  • Santa Maria, CA
  • NPI 1609181858
  NPD (past) Authorized official

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1710141783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 E BETTERAVIA RD STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548851",
            "telephone_number": "805-922-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E BETTERAVIA RD STE C",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934548851",
            "telephone_number": "805-922-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2674 San Miguel Dr",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605437",
            "country_code": "US",
            "telephone_number": "949-478-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "KEITH",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "1855031",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "57293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yi-Hsin Tai, AU.D.
• Femi Gabriel Taiwo
• Manuel Montoya Tajon, PSYD
• Lyle Takahashi, PHARM. D.
• Tam & Cottrell Dental Partnership
• Alexia Monserrat Tamayo-Gonzalez
• Anel Vanessa Tamayo
• Jonathan Edward Tammela, MD
• Karen Ross Tammela, MD
• Kimberly Tang

• Pediatric Dentistry in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.