Matthew Clayton McKeeman, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9985 Issued in SC

Practice address

1204 Two Island CT
Mount Pleasant, SC 29466-7436

Phone

(843) 881-8881

NPI assigned

Jun 29, 2020

Last updated

Sep 10, 2021By the provider in NPPES

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 AL

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riccobene & Associates CCC, DDS, PC

  dba Pleasant Family Dentistry

  • General Practice Dentistry
  • Mount Pleasant, SC
  • NPI 1417756396
  NPD
• Pleasant Family Dentistry

  • General Practice Dentistry
  • Mount Pleasant, SC
  • NPI 1336321629
  NPD (past)

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1851918585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SEAPORT LN UNIT 2218",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643778",
            "telephone_number": "610-675-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 TWO ISLAND CT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294667436",
            "telephone_number": "843-881-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEMAN",
        "first_name": "MATTHEW",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-09-10",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie McGowan
• John G. McGue, M.D
• Stacie McGuire
• Kathryn Dodds McIntosh, MS, RD, LD
• McInturff Dental LLC
• Chloe Sullivan McKellar, BSN, RN
• Sayres Campbell McKenna, PT, DPT
• Brittany McKenzie, LCSW
• Erin Heather McKenzie, DDS
• Nathan McKeta, DMD

• General Practice Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.