Dr Douglas a Keller DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035664 Issued in NY

Legal business name

DR DOUGLAS A KELLER DMD PC

Practice address

420 West Montauk Highway
Babylon, NY 11702

Phone

(631) 669-0027

Fax

(631) 669-0054

NPI assigned

Jun 10, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Alan Keller, DMDNPI 1609245844

Title

Dentist/Owner

Phone

(631) 669-0027

Specialties & licenses 1

Addresses

Tax ID family

Dr Douglas a Keller DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Douglas a. Keller,D.M.D., P.C.

  • General Practice Dentistry
  • Babylon, NY
  • NPI 1356475636
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Keller

  • General Practice Dentistry
  • Babylon, NY
  • NPI 1609245844
  Authorized official Same address or phone

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1043470537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WEST MONTAUK HIGHWAY",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "11702",
            "telephone_number": "631-669-0027",
            "fax_number": "631-669-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WEST MONTAUK HIGHWAY",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "11702",
            "telephone_number": "631-669-0027",
            "fax_number": "631-669-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DOUGLAS A KELLER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "631-669-0027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesli Sarai Dominguez
• Carly Michelle Donohue, PA-C
• Elizabeth Donovan, LPN
• Keith T Downing, M.D.
• Dr Bruce a Zappia DPM
• Dr. Douglas a. Keller,D.M.D., P.C.
• Sarita Duchatelier, MD
• Sharda Dunne, MA,CCC-SLP
• Heidi G. Durler
• Olivia Marilyn Eden

• General Practice Dentistry in Babylon, NY
• Providers in Babylon, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.