Kyle Glenn Keeter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

14651 Issued in TX

Practice address

8201 Preston Rd Ste 255
Dallas, TX 75225-6217

Phone

(214) 360-0055

Fax

(214) 360-0066

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

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.

• Keeter & Geiger Dentistry, PLLC

  dba Keeter & Geiger Dentistry

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1730940289
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1063639375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD STE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256217",
            "telephone_number": "214-360-0055",
            "fax_number": "214-360-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD STE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256217",
            "telephone_number": "214-360-0055",
            "fax_number": "214-360-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETER",
        "first_name": "KYLE",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyanne Wendy Collins Keesee, AUD
• Heather Claire Keesee
• Leonard Ray Keesee
• Ariana Renee Keesen, MA, LPC-A
• Keeter & Geiger Dentistry, PLLC (Keeter & Geiger Dentistry)
• Andre Tyrone Keeton, LCDC
• Kevisha Keeton
• Brandi Aston Keezel, LPC
• Emnet Kefeni
• Ganiat Olaide Kehinde

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.