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Keith Nelson Shrum, D.D.S.

NPI 1578671384ActiveIndividual· Dentist, General Practice· Hermitage, TN

Opted out of Medicare from July 2016 to July 2028. Dentist, General Practice (D.D.S.) in Hermitage, Tennessee, licensed in TN, with an NPI issued in August 2006.

Overview

NPI1578671384
StatusActive
Entity typeIndividual
CredentialD.D.S.
Sole proprietorYes
NPI issuedAug 29, 2006
Last updated in NPPESJul 8, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X4892TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Jul 19, 2016 – Jul 19, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general dentists in Hermitage

All 24 general dentists in Hermitage · All general dentists in Tennessee