DR. KEITH NICHOLSON D.D.S
NPI 1093959660
Dentist - Orthodontics and Dentofacial Orthopedics in Philadelphia, PA

Active since April 27, 2009
100 S BROAD ST STE 1530, PHILADELPHIA, PA 19110(267) 691-0606 Get Directions Write a Review

NPPES record last updated: May 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Keith Nicholson D.d.s NPPES

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

DR. KEITH NICHOLSON D.D.S (NPI 1093959660) is an individual orthodontics and dentofacial orthopedics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS043962) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1093959660
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. KEITH NICHOLSONCredential: D.D.S
Location Address100 S BROAD ST STE 1530Philadelphia, PA 19110-1026
Mailing AddressUniversity Of Louisville, 501 South Preston St.Louisville, KY 40292-0001 · (502) 852-5124
Sole ProprietorNo
Enumeration DateApril 27, 2009
Last NPPES UpdateMay 28, 2023
NPPES CertifiedMay 28, 2023
NPI 1093959660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Licenses Licensed in PA · DS043962 Licensed in KY · 8795/879 Licensed in NC · 8644 Licensed in IN · 12012234A
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 8644 (NC)
100 S BROAD ST STE 1530, Philadelphia, PA 19110

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
100 S BROAD ST STE 1530
PHILADELPHIA, PA 19110
Dentist (Orthodontics and Dentofacial Orthopedics)
100 S BROAD ST STE 1530
PHILADELPHIA, PA 19110
Dentist (Orthodontics and Dentofacial Orthopedics)
100 S BROAD ST STE 1530
PHILADELPHIA, PA 19110

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 Nicholson's NPI number?

The NPI number for Keith Nicholson is 1093959660. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Keith Nicholson located?

Keith Nicholson practices at 100 S Broad St Ste 1530, Philadelphia, PA 19110. The listed phone number is (267) 691-0606.

What is Keith Nicholson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Keith Nicholson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Keith Nicholson 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 Nicholson was last updated on May 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.