KEITH J. WHITTEMORE
NPI 1972627362
Dentist - General Practice in Waterloo, IA

Active since March 19, 2007
3120 KIMBALL AVE, WATERLOO, IA 50702(319) 232-1354(319) 232-2082 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith J. Whittemore NPPES

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

KEITH J. WHITTEMORE (NPI 1972627362) is a healthcare organization registered as a general practice in Waterloo, Iowa and active in the NPI registry since March 2007. The organization lists Keith J. Whittemore, Owner, as its authorized official.

NPPES Registry Identity

NPI1972627362
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKEITH J. WHITTEMORE
Location Address3120 KIMBALL AVEWaterloo, IA 50702-5272
Mailing Address3120 Kimball AveWaterloo, IA 50702-5272 · (319) 232-1354 · Fax (319) 232-2082
Fax(319) 232-2082
Organization SubpartNo
Authorized OfficialKeith J. WhittemoreOwner · (319) 232-1354
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1972627362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · 07395
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.
3120 KIMBALL AVE, Waterloo, IA 50702

Other Identifiers 1

Medicaid0282517IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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.

Dentist (General Practice)
3120 KIMBALL AVE
WATERLOO, IA 50702
Dentist (General Practice)
3120 KIMBALL AVE
WATERLOO, IA 50702
Community/Behavioral Health
3120 KIMBALL AVE, SUITE B & C
WATERLOO, IA 50702
Dentist
3120 KIMBALL AVE
WATERLOO, IA 50702

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 J. Whittemore's NPI number?

The NPI number for Keith J. Whittemore is 1972627362. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Keith J. Whittemore located?

Keith J. Whittemore is located at 3120 Kimball Ave, Waterloo, IA 50702. The listed phone number is (319) 232-1354.

What is Keith J. Whittemore's specialty?

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

What insurance does Keith J. Whittemore accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Keith J. Whittemore 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 J. Whittemore was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.