Organization Active NPI

Key Family Dental Center PLLC

  • General Practice Dentistry
  • Oakdale, MN
National Provider Identifier
1114634086
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KEY FAMILY DENTAL CENTER PLLC
Practice address
1099 Helmo Ave. N.
Suite 200
Oakdale, MN 55128-6037
Phone
(651) 770-9174
Fax
(651) 770-3839
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Dr. Kathleen Kelly Key, D.D.S
Title
Owner/Practitioner
Phone
(651) 770-9174

Specialties & licenses 1

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

Addresses

Primary practice location

1099 Helmo Ave. N.
Suite 200
Oakdale, MN 55128-6037

Mailing address

1099 Helmo Ave. N.
Suite 200
Oakdale, MN 55128-6037
Phone (651) 770-9174

National Provider Directory

National Provider Directory

Locations

1099 Helmo Ave N
Ste 200
Oakdale, MN 55128
Phone (651) 578-8401

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1114634086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE. N.",
            "address_2": "SUITE 200",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286037",
            "telephone_number": "651-770-9174",
            "fax_number": "651-770-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 HELMO AVE. N.",
            "address_2": "SUITE 200",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286037",
            "telephone_number": "651-770-9174",
            "fax_number": "651-770-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY FAMILY DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "KEY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "651-770-9174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.