Individual provider Active NPI

Keith Egan, DDS

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1720564883
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9865733 Issued in UT
Practice address
1011 N Catherine St
Salt Lake City, UT 84116-1600
Phone
(801) 596-3000
NPI assigned
Jul 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9865733 UT Primary

Addresses

Primary practice location

1011 N Catherine St
Salt Lake City, UT 84116-1600

Mailing address

1011 N Catherine St
Salt Lake City, UT 84116-1600
Phone (801) 596-3000

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

LicenseStateTypeSpecialty
11113NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kde Dental PLLC Current Accepting new patients
Spencer Luke DMD, Inc. General Practice Past Accepting new patients

Locations

1011 N Catherine St
Salt Lake City, UT 84116
Phone (801) 596-3000

Organizations & group practices 2

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1720564883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N CATHERINE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841161600",
            "telephone_number": "801-596-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CATHERINE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841161600",
            "telephone_number": "801-596-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "9865733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.