Todd Alan Keller, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

20271 Issued in TX

Practice address

1902 Common St
Suite #100
New Braunfels, TX 78130-3178

Phone

(830) 629-5055

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Todd a Keller, DDS, PA

  • Dental Clinic/Center
  • New Braunfels, TX
  • NPI 1144222472
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023163565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 COMMON ST",
            "address_2": "SUITE #100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303178",
            "telephone_number": "830-629-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 COMMON ST",
            "address_2": "SUITE #100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303178",
            "telephone_number": "830-629-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "TODD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "20271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Kehrberg
• Kendra Deanne Keith, MS, RD, LD, CDCES
• Kellcy Medical Group
• Kellcy Medical Group, P.a.
• Julia R Kellcy, D.O.
• Karen Leigh Kelley, MS
• Abigail Kelling
• Cecily Hostrup Kelly, MD
• Teri Kelso, LVN
• Kelvin a. Simmons DDS PLLC

• Periodontics in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.