Dr. Douglas a. Keller,D.M.D., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035664 Issued in NY

Legal business name

DR. DOUGLAS A. KELLER,D.M.D., P.C.

Practice address

420 W Main St
Babylon, NY 11702-3008

Phone

(631) 669-0027

Fax

(631) 669-0054

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Alan Keller, D.M.D.

Title

General Dentist

Phone

(631) 669-0027

Specialties & licenses 1

Addresses

Tax ID family

Dr Douglas a Keller DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr Douglas a Keller DMD PC

  • General Practice Dentistry
  • Babylon, NY
  • NPI 1043470537
  NPD tax ID

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1356475636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023008",
            "telephone_number": "631-669-0027",
            "fax_number": "631-669-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023008",
            "telephone_number": "631-669-0027",
            "fax_number": "631-669-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DOUGLAS A. KELLER,D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "631-669-0027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Michelle Donohue, PA-C
• Elizabeth Donovan, LPN
• Keith T Downing, M.D.
• Dr Bruce a Zappia DPM
• Dr Douglas a Keller DMD PC
• Sarita Duchatelier, MD
• Sharda Dunne, MA,CCC-SLP
• Heidi G. Durler
• Olivia Marilyn Eden
• Moliat M Edundiran I

• General Practice Dentistry in Babylon, NY
• Providers in Babylon, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.