Keller Group, Inc.

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

KELLER GROUP, INC.

Practice address

160 Larkin Williams Ind CT
Fenton, MO 63026-2409

Phone

(636) 717-1755

Fax

(636) 600-4396

NPI assigned

Oct 12, 2012

Organization subpart

Yes

Parent organization

GDC HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mike Schantz, CPA

Title

Cfo of GDC Holdings

Phone

(561) 537-8305

Specialties & licenses 1

Addresses

Other names 1

• Keller Laboratories, Inc. Doing business as

Locations

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1295087443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 LARKIN WILLIAMS IND CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262409",
            "telephone_number": "636-717-1755",
            "fax_number": "636-600-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LARKIN WILLIAMS IND CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262409",
            "telephone_number": "636-717-1755",
            "fax_number": "636-600-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GDC HOLDINGS, INC.",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "SCHANTZ",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO OF GDC HOLDINGS",
        "authorized_official_telephone_number": "561-537-8305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Laboratories, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sally J Jones, ATC
• Jeswin M Joyson
• Anna Maria Jurec Irving, M.D.
• Andrew L Karanas, MD
• Karl H. Gruendl, DMD, PC
• Lisa Kelley
• Andrew Kemlage
• Thomas F. Kemlage, DDS
• Michelle Lynn Kendrick, PT
• Brian Kindel, O.D.

• Dental Laboratory in Fenton, MO
• Providers in Fenton, MO by specialty
• Dental Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.