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KEITH WAYNE POE DDS
NPI 1780792515
Dentist - General Practice in Midland, TX

Active since August 29, 2006PECOS Enrolled
3200 SUNBURST DR, MIDLAND, TX 79707(432) 694-8823(432) 694-8825 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Keith Wayne Poe Dds NPPES

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

KEITH WAYNE POE DDS (NPI 1780792515) is an individual general practice provider in Midland, Texas, licensed in Texas (12758) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780792515
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKEITH WAYNE POECredential: DDS
Location Address3200 SUNBURST DRMidland, TX 79707
Mailing Address3200 Sunburst DrMidland, TX 79707 · (432) 694-8823 · Fax (432) 694-8825
Phone(432) 694-8823
Fax(432) 694-8825
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1780792515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 12758
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.
3200 SUNBURST DR, Midland, TX 79707
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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 Wayne Poe 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 79707 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

HEALTH CENTERED DENTISTRY - SUNBURST PLLC
Dentist (General Practice)
3200 SUNBURST DR
MIDLAND, TX 79707
Midland County (432) 694-8823

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 Poe's NPI number?

The NPI number for Keith Poe is 1780792515. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Keith Poe located?

Keith Poe practices at 3200 Sunburst Dr, Midland, TX 79707. The listed phone number is (432) 694-8823.

What is Keith Poe's specialty?

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

Is Keith Poe enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keith Poe 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.