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KEITH J DOUBLEDAY D.D.S.
NPI 1093891749
Dentist - General Practice in Hartford, WI

Active since October 27, 2006PECOS Enrolled
6856 LEE RD., HARTFORD, WI 53027(262) 673-7611 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith J Doubleday D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH J DOUBLEDAY D.D.S. (NPI 1093891749) is an individual general practice provider in Hartford, Wisconsin, licensed in Wisconsin (2316) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093891749
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEITH J DOUBLEDAYCredential: D.D.S.
Location Address6856 LEE RD.Hartford, WI 53027
Mailing AddressPo Box 270197Hartford, WI 53027-0197 · (262) 673-7611
Phone(262) 673-7611
Sole ProprietorYes
Enumeration DateOctober 27, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1093891749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 2316
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6856 LEE RD., Hartford, WI 53027
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Other Identifiers 1

Medicaid33408700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith J Doubleday D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Doubleday's NPI number?

The NPI number for Keith Doubleday is 1093891749. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Keith Doubleday located?

Keith Doubleday practices at 6856 Lee Rd., Hartford, WI 53027. The listed phone number is (262) 673-7611.

What is Keith Doubleday's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Keith Doubleday enrolled in Medicare?

Yes. Keith Doubleday is registered in the Medicare PECOS enrollment system.

What insurance does Keith Doubleday accept?

Health plans from Humana list Keith Doubleday as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Doubleday was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.