KEITH WADE DMD
NPI 1649304361
Dentist - General Practice in Bethlehem, CT

Active since March 15, 2007PECOS Enrolled
101 MAIN ST S, BOX 640, BETHLEHEM, CT 06751(203) 266-7435(203) 266-5100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keith Wade Dmd NPPES

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

KEITH WADE DMD (NPI 1649304361) is an individual general practice provider in Bethlehem, Connecticut, licensed in Connecticut (7350) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649304361
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEITH WADECredential: DMD
Location Address101 MAIN ST S, BOX 640Bethlehem, CT 06751-2032
Mailing Address101 Main St S, Box 640Bethlehem, CT 06751-2032 · (203) 266-7435 · Fax (203) 266-5100
Fax(203) 266-5100
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1649304361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CT · 7350
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.
101 MAIN ST S, Bethlehem, CT 06751

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Keith Wade 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 06751 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Dentist (General Practice)
101 MAIN ST S
BETHLEHEM, CT 06751

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 Wade's NPI number?

The NPI number for Keith Wade is 1649304361. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Keith Wade located?

Keith Wade practices at 101 Main St S Box 640, Bethlehem, CT 06751. The listed phone number is (203) 266-7435.

What is Keith Wade's specialty?

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

Is Keith Wade enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keith Wade was last updated on July 8, 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.