Keith W. Street DMD LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2894 SPEC 0391 Issued in SC

Legal business name

KEITH W. STREET DMD LLC

Practice address

110 Buford Ave
Anderson, SC 29621-3314

Phone

(864) 224-2526

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Keith William Street, DMD

Title

Orthodontist

Phone

(864) 224-2526

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1992955249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BUFORD AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213314",
            "telephone_number": "864-224-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BUFORD AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213314",
            "telephone_number": "864-224-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH W. STREET DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "STREET",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "864-224-2526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "2894 SPEC 0391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Kay
• Tiffany W Kay
• Daniel A. Keenan Jr., MD
• Jada Keene
• David Lee Keese, PT
• Brian A. Keith, DOCTORATE IN PSYCHOL
• Rick J Keizer, M.D.
• Amalia Kelemen, O.T.
• Gwendell McDaniel Kelley, APRN
• Margaret Kelley, FNP-BC

• All providers in Anderson, SC
• Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.