Zane Dalton Keller, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2023020671 Issued in MO

Practice address

4546 Main St
Kansas City, MO 64111-1816

Phone

(816) 239-3214

NPI assigned

Jun 5, 2023

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1316631385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 13TH ST UNIT 711",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641062934",
            "telephone_number": "316-303-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111816",
            "telephone_number": "816-239-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ZANE",
        "middle_name": "DALTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2023020671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindaye S Kelemework
• Mary Rebecca Kellam-Upton, MSN FNP
• Alexander Keller
• Darcie Keller, PHARM. D.
• Tyler Keller, OD
• Emily Kellerman
• Randy Lee Kellerman, CHIROPRACTOR
• Lakeitha D Kelley-Lavan, FNP-C
• Bethany A Kelley, CRNA
• Deletha Yolanda Kelley

• General Practice Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.