NPIMap

Organization Active NPI

Todd a Keller, DDS, PA

Doing business as Keller Periodontics

  • Dental Clinic/Center
  • New Braunfels, TX
National Provider Identifier
1144222472
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20271 Issued in TX
Legal business name
TODD A KELLER, DDS, PA
Doing business as
Keller Periodontics
Practice address
1902 Common St
Ste 100
New Braunfels, TX 78130-3156
Phone
(830) 629-5055
Fax
(830) 629-2528
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Todd Alan Keller, DDS, MSNPI 1023163565
Title
Owner/President
Phone
(830) 629-5055

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
Dental Clinic/Center 261QD0000X 20271 TX Primary

Addresses

Primary practice location

1902 Common St
Ste 100
New Braunfels, TX 78130-3156

Mailing address

1902 Common St
Ste 100
New Braunfels, TX 78130-3156
Phone (830) 629-5055

Other names 1

  • Keller Periodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1902 E Common St
Ste 100
New Braunfels, TX 78130
Phone (830) 629-5055

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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1144222472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 COMMON ST",
            "address_2": "STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303156",
            "telephone_number": "830-629-5055",
            "fax_number": "830-629-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 COMMON ST",
            "address_2": "STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781303156",
            "telephone_number": "830-629-5055",
            "fax_number": "830-629-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD A KELLER, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "830-629-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "20271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.