Dr. Corwin Jay Keltner, DDS, PPA
Dr. Corwin Jay Keltner is a Dentist provider (Dentist) practicing in Ogden, UT, registered in the NPPES registry with NPI 1083604599 since 2005. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083604599 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Corwin Jay Keltner |
| Credential | DDS, PPA |
| Sex | Male |
| Practice address | 5974 FASHION POINT DR STE 210, Ogden, UT, 84403 |
| Phone | 8014756121 |
| Enumeration date | 2005-10-26 |
| Last updated in NPPES | 2022-12-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Secondary | 60068 | KS |
| 122300000X | Dentist | Primary | 323334-9922 | UT |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116645 | Other | KS | BLUE CROSS BLUE SHIELD ID |
| 100392360B | Medicaid | KS | — |
Copy-ready billing details
Provider: Corwin Keltner, DDS, PPA NPI: 1083604599 Taxonomy: 122300000X (Dentist) Address: 5974 FASHION POINT DR STE 210, Ogden, UT, 84403
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1336708718 | Emily Baker | Individual | Behavior Technician | South Ogden, UT |
Verify this record
Cross-check NPI 1083604599 against the authoritative CMS record: view Dr. Corwin Jay Keltner on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-12-11.