DR. KEITH DOUGLAS WHITE D.D.S.
NPI 1790825602
Dentist - General Practice in Fayetteville, NC

Active since February 08, 2007PECOS Enrolled
2935 BREEZEWOOD AVE, SUITE200, FAYETTEVILLE, NC 28303(910) 323-3133(910) 323-9616 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Keith Douglas White D.d.s. NPPES

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

DR. KEITH DOUGLAS WHITE D.D.S. (NPI 1790825602) is an individual general practice provider in Fayetteville, North Carolina, licensed in North Carolina (8079) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790825602
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEITH DOUGLAS WHITECredential: D.D.S.
Location Address2935 BREEZEWOOD AVE, SUITE200Fayetteville, NC 28303-5284
Mailing Address106 Woods LnRaeford, NC 28376-9314 · (910) 848-0123 · Fax (910) 848-0123
Fax(910) 323-9616
Sole ProprietorNo
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1790825602 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 · 8079
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.

2935 BREEZEWOOD AVE, Fayetteville, NC 28303

Accepted 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)

Dr. Keith Douglas White D.d.s. 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 28303 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

Home Health
2935 BREEZEWOOD AVE, 102
FAYETTEVILLE, NC 28303
Dentist (General Practice)
2935 BREEZEWOOD AVE, SUITE 200
FAYETTEVILLE, NC 28303
Home Health
2935 BREEZEWOOD AVE, STE 101
FAYETTEVILLE, NC 28303
Dentist (General Practice)
2935 BREEZEWOOD AVE, SUITE 200
FAYETTEVILLE, NC 28303

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 White's NPI number?

The NPI number for Keith White is 1790825602. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Keith White located?

Keith White practices at 2935 Breezewood Ave Suite200, Fayetteville, NC 28303. The listed phone number is (910) 323-3133.

What is Keith White's specialty?

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

Is Keith White enrolled in Medicare?

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

What insurance does Keith White accept?

Health plans from Guardian list Keith White 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 White was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.