OrganizationActive
Keith Tam DDS Professional Corp
NPI 1922541481 · Dentist · Santa Maria, CA
Keith Tam DDS Professional Corp is a Dentist organization in Santa Maria, CA (NPI 1922541481).
Provider details
- NPI number
- 1922541481
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Keith Tam, Owner(949) 322-9778
- License
- 57293 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
570 E Betteravia Rd
Ste C
Santa Maria, CA 93454-8805
Phone: (805) 922-2888
Fax: (805) 925-0888
Street-level locationGet directions
Mailing address
570 E Betteravia Rd
Santa Maria, CA 93454-8805
Other names (DBA / former)
- Doing business as
- Santa Maria Pediatric Dental Group
Registry dates
- Enumerated
- 2016-11-30
- Last updated
- 2016-11-30
Frequently asked questions
- What is Keith Tam DDS Professional Corp's NPI number?
- Keith Tam DDS Professional Corp's National Provider Identifier (NPI) is 1922541481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keith Tam DDS Professional Corp?
- Keith Tam DDS Professional Corp is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Keith Tam DDS Professional Corp located?
- Keith Tam DDS Professional Corp's practice location on file with NPPES is 570 E Betteravia Rd, Santa Maria, CA 93454-8805.
- What is Keith Tam DDS Professional Corp's phone number?
- The practice phone number listed in the NPPES registry for Keith Tam DDS Professional Corp is (805) 922-2888.
- Who is the authorized official for Keith Tam DDS Professional Corp?
- The authorized official listed on Keith Tam DDS Professional Corp's NPPES record is Keith Tam, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keith Tam DDS Professional Corp's NPI active?
- Yes — Keith Tam DDS Professional Corp's NPI (1922541481) is active in the NPPES registry as of the last update on 2016-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.