Keller Northcutt

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40581 Issued in TX

Practice address

100 Forrest Ter
Marshall, TX 75670-6804

Phone

(903) 938-8315

NPI assigned

Mar 20, 2023

Last updated

Jun 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ford & Hefner, D.D.S., L.L.P.

  • General Practice Dentistry
  • Nederland, TX
  • NPI 1740394451
  NPD (past)
• Marshall Family Dental PLLC

  • General Practice Dentistry
  • Marshall, TX
  • NPI 1861749970
  NPD (past)
• Nederland Family Dental

  dba Coastal Dental Care

  • Dental Clinic/Center
  • Nederland, TX
  • NPI 1861114233
  NPD (past)

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1164124798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FORREST TER",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756706804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FORREST TER",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756706804",
            "telephone_number": "903-938-8315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 N 18th St",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "TX",
            "postal_code": "776274856",
            "country_code": "US",
            "telephone_number": "409-727-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORTHCUTT",
        "first_name": "KELLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trung Hieu Nguyen, MD
• Kavita Nirmal, M.D.
• Gerald Edward Nissley Jr., PSY.D.
• Sara Noble, MA
• George C Noel, P.A.
• Alana Victoria Oates
• Hollie Ormond, FNP
• Akwasi Owusu-Sekyere
• Charles Allen Parker, DDS
• Parks Bell Inc (Cross Medical)

• General Practice Dentistry in Marshall, TX
• Providers in Marshall, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.