Dr. Keith Edwin Moomaw, DDS
Dr. Keith Edwin Moomaw is a Dentist provider (Dentist) practicing in Edgewood, MD, registered in the NPPES registry with NPI 1164645859 since 2007. The credential DDS stands for Doctor of Dental Surgery. Practices at Chesapeake Contemporary Dentistry, P.A. (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1164645859 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Keith Edwin Moomaw |
| Credential | DDS |
| Sex | Male |
| Practice address | Edgewood, MD, 21040 |
| Phone | 4106792790 |
| Enumeration date | 2007-04-11 |
| Last updated in NPPES | 2007-07-08 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | MD6960 | MD |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Keith Moomaw, DDS NPI: 1164645859 Taxonomy: 122300000X (Dentist) Address: Edgewood, MD, 21040
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942328364 | Peter Roth | Individual | General Practice Dentistry | Edgewood, MD |
| 1649597824 | Chesapeake Contemporary Dentistry, P.A. | Organization | Dentist | Edgewood, MD |
| 1922731041 | Katoanh Phillip | Individual | Addiction (Substance Use Disorder) Counselor | Edgewood, MD |
| 1083390405 | Jessica Davis | Individual | Addiction (Substance Use Disorder) Counselor | Edgewood, MD |
Verify this record
Cross-check NPI 1164645859 against the authoritative CMS record: view Dr. Keith Edwin Moomaw 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
Is NPI 1164645859 active?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.