Keith J. Whittemore
Keith J. Whittemore is a healthcare organization registered as General Practice Dentistry in Waterloo, IA, holding Type 2 (organization) NPI 1972627362 since 2007. The authorized official on file is Keith Whittemore, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1972627362 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Keith J. Whittemore |
| Practice address | 3120 KIMBALL AVE, Waterloo, IA, 50702 |
| Phone | 3192321354 |
| Fax | 3192322082 |
| Enumeration date | 2007-03-19 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Keith Whittemore |
|---|---|
| Title | Owner |
| Phone | 3192321354 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 07395 | IA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0282517 | Medicaid | IA | — |
Copy-ready billing details
Provider: Keith J. Whittemore NPI: 1972627362 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 3120 KIMBALL AVE, Waterloo, IA, 50702
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346395027 | Counseling and Therapy Associates,LLC | Organization | Community/Behavioral Health Agency | Waterloo, IA |
| 1306987789 | Keith Whittemore | Individual | General Practice Dentistry | Waterloo, IA |
| 1619147261 | David Whittemore | Individual | Dentist | Waterloo, IA |
| 1184309361 | Dylan Whittemore | Individual | General Practice Dentistry | Waterloo, IA |
Verify this record
Cross-check NPI 1972627362 against the authoritative CMS record: view Keith J. Whittemore 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
Where is Keith J. Whittemore located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.