Active NPI
Daniel Keller, DDS
- Dentist
- Island Pond, VT
National Provider Identifier
1053205385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 016.0134358
- Practice address
- 82 Maple Street
Island Pond, VT 05846 - Phone
- (802) 723-4300
- NPI assigned
- Jun 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0134358 | VT | Primary |
Addresses
Primary practice location
82 Maple Street
Island Pond, VT 05846
Mailing address
3184 VT Route 105
West Charleston, VT 05872-9705
Phone (989) 444-9405
Other practice location 1
11 Union St
Orleans, VT 05860-1218
Phone (802) 754-6973
Other practice location 2
494 Highland Ave
Newport, VT 05855-4919
Phone (802) 334-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0134358 | VT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vermont Family Dental PLC | Past | Accepting new patients | |
| Northern Counties Health Care | Past | Accepting new patients | |
| Newport Family Dental, PLC | Past | Accepting new patients | |
| Northern Counties Health Care | Dentist | Past | Accepting new patients |
Interoperability endpoints
- daniel.keller.1@28542.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Dental Clinic/Center
- Newport, VT
- NPI 1437506888
-
- Dentist
- Orleans, VT
- NPI 1427503630
-
- Nurse Practitioner
- St Johnsbury, VT
- NPI 1609966944
-
- Dental Clinic/Center
- Newport, VT
- NPI 1225749930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1053205385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3184 VT ROUTE 105",
"city": "WEST CHARLESTON",
"state": "VT",
"postal_code": "058729705",
"telephone_number": "989-444-9405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 MAPLE STREET",
"city": "ISLAND POND",
"state": "VT",
"postal_code": "05846",
"telephone_number": "802-723-4300"
}
],
"practiceLocations": [
{
"address_1": "11 Union St",
"address_purpose": "LOCATION",
"city": "Orleans",
"state": "VT",
"postal_code": "058601218",
"country_code": "US",
"telephone_number": "802-754-6973",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "494 Highland Ave",
"address_purpose": "LOCATION",
"city": "Newport",
"state": "VT",
"postal_code": "058554919",
"country_code": "US",
"telephone_number": "802-334-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "DANIEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-03",
"last_updated": "2025-06-03",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016.0134358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Island Pond, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.