NPIMap

Organization Active NPI

Matthew a Keim DDS PC

  • General Practice Dentistry
  • Miami, OK
National Provider Identifier
1861678583
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5697 Issued in OK
Legal business name
MATTHEW A KEIM DDS PC
Practice address
124 N Main St
Miami, OK 74354-6325
Phone
(918) 542-1631
Fax
(918) 540-9141
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Matthew A Keim, DDSNPI 1194803072
Title
President/Owner
Phone
(918) 542-1631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5697 OK Primary

Addresses

Primary practice location

124 N Main St
Miami, OK 74354-6325

Mailing address

124 N Main St
Miami, OK 74354-6325
Phone (918) 542-1631

Other names 1

  • Green Country Dental Care Other name

National Provider Directory

National Provider Directory

Locations

124 N Main St
Miami, OK 74354
Phone (918) 542-1631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1861678583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546325",
            "telephone_number": "918-542-1631",
            "fax_number": "918-540-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N MAIN ST",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546325",
            "telephone_number": "918-542-1631",
            "fax_number": "918-540-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A KEIM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "KEIM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "918-542-1631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Country Dental Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.