IndividualActive
Scott Keithley, D.D.S.
NPI 1144318692 · Dentist · Lodi, CA
Scott Keithley, D.D.S. is a Dentist provider in Lodi, CA (NPI 1144318692).
Provider details
- NPI number
- 1144318692
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 31486 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
630 S Fairmont Ave Ste C
Lodi, CA 95240-3803
Phone: (209) 334-2211
Fax: (209) 334-2221
Street-level locationGet directions
Mailing address
630 S Fairmont Ave Ste C
Lodi, CA 95240-3803
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Scott Keithley's NPI number?
- Scott Keithley's National Provider Identifier (NPI) is 1144318692, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Scott Keithley's specialty?
- Scott Keithley is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Scott Keithley located?
- Scott Keithley's practice location on file with NPPES is 630 S Fairmont Ave Ste C, Lodi, CA 95240-3803.
- What is Scott Keithley's phone number?
- The practice phone number listed in the NPPES registry for Scott Keithley is (209) 334-2211.
- Is Scott Keithley's NPI active?
- Yes — Scott Keithley's NPI (1144318692) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.