Elizabeth Hernandez Keith, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8145 Issued in NC

Practice address

870 State Farm Rd Ste 103a
Boone, NC 28607-4862

Phone

(828) 264-3333

Fax

(828) 264-6340

NPI assigned

May 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 28, 2016 through Jun 28, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisbet Cherniavsky, DDS PLLC

  dba Blue Ridge Dentistry

  • General Practice Dentistry
  • Boone, NC
  • NPI 1376755546
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770798548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071038",
            "telephone_number": "828-264-3333",
            "fax_number": "828-264-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 STATE FARM RD STE 103A",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074862",
            "telephone_number": "828-264-3333",
            "fax_number": "828-264-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "ELIZABETH",
        "middle_name": "HERNANDEZ",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Kaufmann, MD
• Madeline Lorraine Keefer, RN
• Louise Catherine Keegan, PHD,CCC-SLP
• Elizabeth Keeter, M.A. CCC-SLP
• Bettie M Keith, RN
• Jared N Keith, MD
• Amelia Seaver Kellam, CCC-SLP
• Jacob M Keller
• Crystal Joy Kelly, CERTIFIED DOULA
• Ryan Kelly, MD

• General Practice Dentistry in Boone, NC
• Providers in Boone, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.