Kristopher Keller DDS Ms PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

KRISTOPHER KELLER DDS MS PLLC

Practice address

1200 Pulitzer PL
Kingsport, TN 37660-1568

Phone

(423) 246-3001

NPI assigned

Oct 30, 2025

Organization subpart

No

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

Authorized official

Name

Kristopher Keller, DDS, MSNPI 1730650037

Title

Managing Member

Phone

(423) 246-3001

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristopher Jacob Keller, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kingsport, TN
  • NPI 1730650037
  NPD Authorized official

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1265301238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PULITZER PL",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376601568",
            "telephone_number": "423-246-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PULITZER PL",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376601568",
            "telephone_number": "423-246-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTOPHER KELLER DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "423-246-3001",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul R Kramer, MD
• Polly Kramer, PA
• Robert Keith Kramer, MD
• Otakar Krcal, MD
• Steven Krein, MD
• Kroger Limited Partnership I
• Matthew Ryan Krolikowski, D.O.
• Whitney D. Krolikowski, D.O.
• Jon R. Krutak, D.C.
• Richard T. Kubota, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.