DR. KEITH A. NALLEY DDS, MS
NPI 1528041605
Dentist - Oral and Maxillofacial Surgery in Grand Haven, MI

Q: What is Keith Nalley's NPI number?

The NPI number for Keith Nalley is 1528041605. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Keith Nalley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Keith Nalley enrolled in Medicare?

No. Keith Nalley has opted out of Medicare through September 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Keith Nalley was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 November 22, 2005Opted out of Medicare · through Sep 20, 2026

919 S BEECHTREE ST, SUITE 8, GRAND HAVEN, MI 49417(616) 844-5135(616) 844-5181 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Keith A. Nalley Dds, Ms NPPES

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

DR. KEITH A. NALLEY DDS, MS (NPI 1528041605) is an individual oral and maxillofacial surgery provider in Grand Haven, Michigan, licensed in Michigan (2901014734) and active in the NPI registry since November 2005. He has opted out of Medicare through September 20, 2026.

NPPES Registry Identity

NPI1528041605

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. KEITH A. NALLEYCredential: DDS, MS

Location Address919 S BEECHTREE ST, SUITE 8Grand Haven, MI 49417-2384

Mailing Address919 S Beechtree St, Suite 8Grand Haven, MI 49417-2384 · (616) 844-5135 · Fax (616) 844-5181

Phone(616) 844-5135

Fax(616) 844-5181

Sole ProprietorNo

Enumeration DateNovember 22, 2005

Last NPPES UpdateSeptember 10, 2010

✔ NPI 1528041605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in MI · 2901014734

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

919 S BEECHTREE ST, Grand Haven, MI 49417

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Other Identifiers 3

Medicare UPINU49176MI

Other2901014734MI · State License #

Medicare ID-Type Unspecified0G06047MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Keith A. Nalley Dds, Ms has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 20, 2024 through September 20, 2026.

Opt-Out Effective DateSeptember 20, 2024

Opt-Out In Effect ThroughSeptember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

PETER D. RICK D.D.S.

Dentist

919 S BEECHTREE ST, SUITE 7
GRAND HAVEN, MI 49417

Ottawa County (616) 844-4400

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 Nalley's NPI number?

The NPI number for Keith Nalley is 1528041605. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Keith Nalley located?

Keith Nalley practices at 919 S Beechtree St Suite 8, Grand Haven, MI 49417. The listed phone number is (616) 844-5135.

What is Keith Nalley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Keith Nalley enrolled in Medicare?

No. Keith Nalley has opted out of Medicare through September 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Keith Nalley accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Keith Nalley 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 Nalley was last updated on September 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.