Keith Nicholson, D.D.S
Keith Nicholson, D.D.S is a provider specialising in Orthodontics and Dentofacial Orthopedics Dentistry in Philadelphia, PA, registered under NPI 1093959660. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 100 S BROAD ST STE 1530, Philadelphia, PA 19110. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| DS043962 | PA | Orthodontics and Dentofacial Orthopedics… primary |
| 8795/879 | KY | Orthodontics and Dentofacial Orthopedics… |
| 8644 | NC | Orthodontics and Dentofacial Orthopedics… |
| 12012234A | IN | Orthodontics and Dentofacial Orthopedics… |
| 8644 | NC | Dentist |
Licences are recorded in 4 states: PA, KY, NC, IN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 4 states
This provider holds licences in 4 states: Indiana, Kentucky, North Carolina and Pennsylvania. The practice address on file is in Philadelphia, PA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- DS043962
- Specialty
- Orthodontics and Dentofacial…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Orthodontics and Dentofacial Orthopedics covers
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. NUCC Health Care Provider Taxonomy, code 1223X0400X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry Orthodontics and Dentofacial Orthopedics | DS043962 | PA | primary |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry Orthodontics and Dentofacial Orthopedics | 8795/879 | KY | |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry Orthodontics and Dentofacial Orthopedics | 8644 | NC | |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry Orthodontics and Dentofacial Orthopedics | 12012234A | IN | |
| 122300000X | Dentist | 8644 | NC |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1093959660 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 27, 2009 |
| Last updated | May 28, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | D.D.S |
| Practice address |
100 S BROAD ST STE 1530 Philadelphia, PA 19110 (267) 691-0606 |
| Mailing address |
UNIVERSITY OF LOUISVILLE 501 SOUTH PRESTON ST. Louisville, KY 40292 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 9 | 3 | 9 | 5 | 9 | 6 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 9 | 3 | 9 | 5 | 9 | 6 | 3 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.