Organization Active NPI

K&W Family Dental, LLC

  • General Practice Dentistry
  • Parlin, NJ
National Provider Identifier
1043438674
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
K&W FAMILY DENTAL, LLC
Practice address
236 Ernston Road
Suite 6
Parlin, NJ 08859-1926
Phone
(732) 525-0049
Fax
(732) 525-0089
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Edward Keller, DMDNPI 1235253303
Title
Owner
Phone
(732) 525-0049

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NJ Primary

Addresses

Primary practice location

236 Ernston Road
Suite 6
Parlin, NJ 08859-1926

Mailing address

236 Ernston Road
Suite 6
Parlin, NJ 08859-1926
Phone (732) 525-0049

National Provider Directory

National Provider Directory

Locations

236 Ernston Rd
Ste 6
Parlin, NJ 08859
Phone (732) 525-0049

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043438674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 ERNSTON ROAD",
            "address_2": "SUITE 6",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591926",
            "telephone_number": "732-525-0049",
            "fax_number": "732-525-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 ERNSTON ROAD",
            "address_2": "SUITE 6",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591926",
            "telephone_number": "732-525-0049",
            "fax_number": "732-525-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&W FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-525-0049",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.