Individual provider Active NPI

William Boteler Key, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Portsmouth, VA
National Provider Identifier
1992374268
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0438000533 Issued in VA
Practice address
620 John Paul Jones Cir
Omfs
Portsmouth, VA 23708
Phone
(757) 953-2765
NPI assigned
Jun 22, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4202-21 MS
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401419410 VA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0438000533 VA Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Omfs
Portsmouth, VA 23708

Mailing address

114 Riverbend CV
Brandon, MS 39047-8647
Phone (601) 750-6038

Other practice location 1

2338 E Little Creek Rd
Norfolk, VA 23518-3225
Phone (804) 533-7665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813000070 MS Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 4981008984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0401419410VAMDOral and Maxillofacial Surgery (Dentist)
0438000533VAMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1992374268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 RIVERBEND CV",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390478647",
            "telephone_number": "601-750-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "address_2": "OMFS",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23708",
            "telephone_number": "757-953-2765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2338 E Little Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235183225",
            "country_code": "US",
            "telephone_number": "804-533-7665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEY",
        "first_name": "WILLIAM",
        "middle_name": "BOTELER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MS",
            "license": "4202-21",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401419410",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0438000533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.