DR. KEITH C. DAVIS D.M.D.
NPI 1104849884
Dentist - General Practice in Spartanburg, SC

Q: What is Keith Davis's NPI number?

The NPI number for Keith Davis is 1104849884. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Keith Davis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Davis 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.

Active since July 25, 2006PECOS Enrolled

975 N CHURCH ST, SPARTANBURG, SC 29303(864) 582-4308(864) 596-4492 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Keith C. Davis D.m.d. NPPES

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

DR. KEITH C. DAVIS D.M.D. (NPI 1104849884) is an individual general practice provider in Spartanburg, South Carolina, licensed in South Carolina (2633) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104849884

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KEITH C. DAVISCredential: D.M.D.

Location Address975 N CHURCH STSpartanburg, SC 29303-4104

Mailing Address975 N Church StSpartanburg, SC 29303-4104 · (864) 582-4308 · Fax (864) 596-4492

Phone(864) 582-4308

Fax(864) 596-4492

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1104849884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 2633

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.

975 N CHURCH ST, Spartanburg, SC 29303

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Other Identifiers 1

MedicaidZZ2633SC

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)

Dr. Keith C. Davis D.m.d. 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 29303 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

Other Providers at the Same Location NPPES 5

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

PALMETTO DENTURE CARE PA

Dentist (General Practice)