Keith Nicholson, D.D.S
Orthodontics and Dentofacial Orthopedics Dentistry · Philadelphia, PA
Keith Nicholson, D.D.S is an orthodontics and dentofacial orthopedics dentistry with a practice address in Philadelphia, Pennsylvania, and NPI 1093959660, issued on Apr 27, 2009. Check the license (Pennsylvania DS043962, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Keith Nicholson
- Credential
- D.D.S
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License numbers
- DS043962 PA
12012234A IN
8795/879 KY
8644 NC
Self-reported in NPPES; status is on the state search - Practice location
- 100 S Broad St Ste 1530, Philadelphia, PA 19110
- Phone
- (267) 691-0606
- Enumerated
- Apr 27, 2009
- Record last updated
- May 28, 2023
- Entity
- Type 1 · individual
8 nearest orthodontics and dentofacial orthopedics dentistry records → All 575 in Pennsylvania → Look up another NPI →
Also registered at 100 S Broad St Ste 1530
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Omar Elnabawi, DMD, MSOrthodontics and Dentofacial Orthopedics Dentistry1790271195
- Andrew Ng, DMDOrthodontics and Dentofacial Orthopedics Dentistry1982223491
- Evan TranOrthodontics and Dentofacial Orthopedics Dentistry1578932323
Verify Keith Nicholson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license DS043962Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $77.99
2 payments; by number, the most common kind was food and beverage; the largest payer was Envista Holdings Corporation. The 7,622 providers of this specialty with any payment received $1,641.73 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Keith Nicholson among 575 orthodontics and dentofacial orthopedics dentistry records in Pennsylvania
Keith Nicholson, D.D.S is one of 575 orthodontics and dentofacial orthopedics dentistry records with a practice address in Pennsylvania. 54% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 56% of them.
- NPI issued2009 · 56% of these records are older, 40% newer
- In a Medicare fileYes · 54% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2023 · 74% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223X0400X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Orthodontics and Dentofacial Orthopedics Dentistry providers in Pennsylvania
There are 575 orthodontics and dentofacial orthopedics dentistry records in Pennsylvania.
All 575 in Pennsylvania → Every provider in Philadelphia → Orthodontics and Dentofacial Orthopedics Dentistry nationwide →
The 8 orthodontics and dentofacial orthopedics dentistry records with the nearest ZIP codes
- Hanel Choi, D.D.S.Philadelphia, PA 191101588076178
- Omar Elnabawi, DMD, MSPhiladelphia, PA 191101790271195
- Andrew Ng, DMDPhiladelphia, PA 191101982223491
- Evan TranPhiladelphia, PA 191101578932323
- Alexandra GrecoPhiladelphia, PA 191071447743356
- Peter Greco, D.M.D.Philadelphia, PA 191071073556494
- Brittany Ang, DMDPhiladelphia, PA 191141073121703
- Perm Gulati, DDSPhiladelphia, PA 191141851423586
Common questions
What is Keith Nicholson, D.D.S's NPI number?
Keith Nicholson, D.D.S's National Provider Identifier (NPI) is 1093959660, issued on Apr 27, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Keith Nicholson, D.D.S located?
The NPPES record lists a practice address at 100 S Broad St Ste 1530, Philadelphia, PA, 19110. Phone: (267) 691-0606. Providers update this record themselves, so call before visiting.
How can I verify Keith Nicholson, D.D.S's license?
NPPES lists Pennsylvania license number DS043962, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.