Keller Parkway Family Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KELLER PARKWAY FAMILY DENTAL, PLLC

Practice address

359 Keller Pkwy
Keller, TX 76248-2206

Phone

(817) 431-6995

NPI assigned

Sep 13, 2019

Organization subpart

No

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

Authorized official

Name

Priyaben G Patel, DDS

Title

Manager

Phone

(678) 735-2602

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1336799162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 PADDINGTON CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760177925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482206",
            "telephone_number": "817-431-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER PARKWAY FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-13",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRIYABEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-735-2602",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keller Family Medical Center, PLLC
• Keller Foot and Ankle Associates, P.a.
• Keller Healing & Physical Medicine, P.a.
• Keller Isd
• Keller Parkway Dental PA
• Keller Pediatric Dentistry
• Keller Smiles LLC
• Keller SNF LLC
• Keller Town Dental
• Brandon Kelley, RD

• Dental Clinic/Center in Keller, TX
• Providers in Keller, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.