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DR. JOHN SCOTT KEADLE DDS
NPI 1477605442
Dentist - General Practice in Mooresville, NC

Active since January 18, 2007
118 GATEWAY BLVD STE A, MOORESVILLE, NC 28117(704) 639-1330 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2021, Nov 14, 2018 (2 updates tracked since 2018).

About Dr. John Scott Keadle Dds NPPES

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

DR. JOHN SCOTT KEADLE DDS (NPI 1477605442) is an individual general practice provider in Mooresville, North Carolina, licensed in North Carolina (5925) and active in the NPI registry since January 2007. He maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1477605442
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN SCOTT KEADLECredential: DDS
Location Address118 GATEWAY BLVD STE AMooresville, NC 28117-6542
Mailing Address18204 Mainsail Pointe DrCornelius, NC 28031-5198 · (704) 650-0249
Phone(704) 639-1330
Sole ProprietorNo
Enumeration DateJanuary 18, 2007
Last NPPES UpdateSeptember 15, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2021
✔ NPI 1477605442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 5925
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.
118 GATEWAY BLVD STE A, Mooresville, NC 28117
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Secondary Practice Location 1

Location 19320 Center Lake Dr Ste 100Charlotte, NC 28216-0767 · Phone (704) 509-4999 · Fax (704) 509-4961

Other Providers at the Same Location NPPES 6

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

BISHR AL DABAGH MD
Dermatology (MOHS-Micrographic Surgery)
118 GATEWAY BLVD STE A
MOORESVILLE, NC 28117
Iredell County (704) 230-1302
MS. KIMBERLY SUMNER MESSINA PA-C
Physician Assistant (Medical)
118 GATEWAY BLVD STE A
MOORESVILLE, NC 28117
Iredell County (704) 230-1302
FORA DERMATOLOGY PLLC
Dermatology (MOHS-Micrographic Surgery)
118 GATEWAY BLVD STE A
MOORESVILLE, NC 28117
Iredell County (704) 230-1302
MISS GARYN SCOUT SCHMIDT PA-C
Physician Assistant
118 GATEWAY BLVD STE A
MOORESVILLE, NC 28117
Iredell County (704) 230-1302
MARY ELIZABETH WEAVER COREY PA-C
Physician Assistant
118 GATEWAY BLVD STE A
MOORESVILLE, NC 28117
Iredell County (704) 230-1302
LINA SIHAMATH RICKS PA-C
Physician Assistant
118 GATEWAY BLVD STE A
MOORESVILLE, NC 28117
Iredell County (704) 230-1302

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 John Keadle's NPI number?

The NPI number for John Keadle is 1477605442. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is John Keadle located?

John Keadle practices at 118 Gateway Blvd Ste A, Mooresville, NC 28117. The listed phone number is (704) 639-1330.

What is John Keadle's specialty?

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

When was this NPI record last updated?

The NPPES record for John Keadle was last updated on September 15, 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.