KEITH ANDREW NIKODEM DDS
NPI 1740317007
Dentist in Saint Louis, MO

Q: What is Keith Nikodem's NPI number?

The NPI number for Keith Nikodem is 1740317007. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Q: What is Keith Nikodem's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Nikodem 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.

Active since February 27, 2007PECOS Enrolled

4420 LEMAY FERRY RD, SAINT LOUIS, MO 63129(314) 487-1515(314) 416-8322 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Keith Andrew Nikodem Dds NPPES

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

KEITH ANDREW NIKODEM DDS (NPI 1740317007) is an individual dentist in Saint Louis, Missouri, licensed in Missouri (2001024027) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740317007

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameKEITH ANDREW NIKODEMCredential: DDS

Location Address4420 LEMAY FERRY RDSaint Louis, MO 63129-1758

Mailing Address4420 Lemay Ferry RdSaint Louis, MO 63129-1758 · (314) 487-1515 · Fax (314) 416-8322

Phone(314) 487-1515

Fax(314) 416-8322

Sole ProprietorNo

Enumeration DateFebruary 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1740317007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MO · 2001024027

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.

4420 LEMAY FERRY RD, Saint Louis, MO 63129

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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)

Keith Andrew Nikodem Dds 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 63129 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

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.

NIKODEM DENTAL HOLDINGS, INC.

Clinic/Center (Dental)

4420 LEMAY FERRY RD
SAINT LOUIS, MO 63129

St. Louis County (314) 487-1515

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 Nikodem's NPI number?

The NPI number for Keith Nikodem is 1740317007. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Keith Nikodem located?

Keith Nikodem practices at 4420 Lemay Ferry Rd, Saint Louis, MO 63129. The listed phone number is (314) 487-1515.

What is Keith Nikodem's specialty?

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

Is Keith Nikodem enrolled in Medicare?

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

What insurance does Keith Nikodem accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 15 other insurers list Keith Nikodem 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 Nikodem 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.