Individual provider Active NPI

Keith Turreff White, D.D.S.

  • Dentist
  • Walnut Creek, CA
National Provider Identifier
1831372671
Registry record updated Dec 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39351 Issued in CA
Practice address
1855 San Miguel Dr
Suite 20
Walnut Creek, CA 94596-5279
Phone
(925) 934-3892
Fax
(925) 934-3606
NPI assigned
Dec 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 39351 CA Primary

Addresses

Primary practice location

1855 San Miguel Dr
Suite 20
Walnut Creek, CA 94596-5279

Mailing address

1855 San Miguel Dr
Suite 20
Walnut Creek, CA 94596-5279
Phone (925) 934-3892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20161117002640 CA Order and Referring Only - DentistPractitioner - Dentist 1658650411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39351CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Creek Dentists Partnership PastSince Feb 9, 2025 Accepting new patients

Organizations & group practices 1

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": "1197763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197763200000",
    "number": "1831372671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "SUITE 20",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965279",
            "telephone_number": "925-934-3892",
            "fax_number": "925-934-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 SAN MIGUEL DR",
            "address_2": "SUITE 20",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965279",
            "telephone_number": "925-934-3892",
            "fax_number": "925-934-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KEITH",
        "middle_name": "TURREFF",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-16",
        "last_updated": "2007-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "39351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.