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DR. KEITH SIMON DMD
NPI 1457748154
Dentist in Tampa, FL

Active since April 20, 2015PECOS Enrolled
4340 W HILLSBOROUGH AVE STE 702, TAMPA, FL 33614(813) 445-3240 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2021, Jun 23, 2020, Oct 10, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Keith Simon Dmd NPPES

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

DR. KEITH SIMON DMD (NPI 1457748154) is an individual dentist in Tampa, Florida, licensed in Florida (DN21658) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457748154
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KEITH SIMONCredential: DMD
Location Address4340 W HILLSBOROUGH AVE STE 702Tampa, FL 33614-5560
Mailing Address4340 W Hillsborough Ave Ste 702Tampa, FL 33614-5560 · (813) 722-1050
Phone(813) 445-3240
Sole ProprietorNo
Enumeration DateApril 20, 2015
Last NPPES UpdateAugust 11, 20214 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
✔ NPI 1457748154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN21658
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4340 W HILLSBOROUGH AVE STE 702, Tampa, FL 33614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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 Simon Dmd 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 33614 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

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

SIMONSMILES, P.A.
Clinic/Center (Dental)
4340 W HILLSBOROUGH AVE STE 702
TAMPA, FL 33614
Hillsborough County (954) 562-2844

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 Simon's NPI number?

The NPI number for Keith Simon is 1457748154. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Keith Simon located?

Keith Simon practices at 4340 W Hillsborough Ave Ste 702, Tampa, FL 33614. The listed phone number is (813) 445-3240.

What is Keith Simon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Keith Simon enrolled in Medicare?

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

What insurance does Keith Simon accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental and Florida Combined Life and 3 other insurers list Keith Simon 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 Simon was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.