William Robert Keith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61394 Issued in KS

Practice address

6299 Nall Ave Ste 200
Mission, KS 66202-3547

Phone

(913) 384-0044

NPI assigned

May 26, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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 KS

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

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.

• Keith Dental Westport LLC

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1548182025
  NPD (past) Authorized official
• Keith & Wilson DDS, PA

  dba Keith & Associates Dentistry

  • Dentist
  • Mission, KS
  • NPI 1366594087
  NPD (past)

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881122455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6299 NALL AVE STE 200",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023547",
            "telephone_number": "913-384-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6299 NALL AVE STE 200",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023547",
            "telephone_number": "913-384-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Craig Kaspar, PH.D.
• KC Wellness Center, Inc
• Kcrcmd Inc
• Keith & Wilson DDS, PA (Keith & Associates Dentistry)
• Donald L Keith, D.D.S.
• Tykeisha Kelly
• Michael Shane Kelso, LSCSW
• Daniel Kennedy
• Brandi Kenney
• Kory Kirkegaard, D.M.D.

• General Practice Dentistry in Mission, KS
• Providers in Mission, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.