Keith Irvin Messersmith, D.D.S,

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0575 Issued in CO

Practice address

701 S. Main St.
Lamar, CO 81052

Phone

(719) 336-9092

Fax

(719) 336-5556

NPI assigned

Jan 11, 2007

Sex

Male

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

Enrolled in CO

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831249143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1142",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810521142",
            "telephone_number": "719-336-9092",
            "fax_number": "719-336-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S. MAIN ST.",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "81052",
            "telephone_number": "719-336-9092",
            "fax_number": "719-336-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSERSMITH",
        "first_name": "KEITH",
        "middle_name": "IRVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "0575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Marez
• Melanie L Marshall, D.O.
• Katherine McCorkle, CAS
• Patrick Kevin McGrath, O.D.
• Jessica Sue Medina, LPCC
• Brian Scott Michaud, D.O.
• Louise None Middaugh, P.A.
• Jessica Anne Mitchell, M.A.
• Derrick Blane Monson, PTA
• Mary Lou Montez, LPN

• General Practice Dentistry in Lamar, CO
• Providers in Lamar, CO by specialty
• General Practice Dentistry in Colorado

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.