Keller Family Medical Center, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KELLER FAMILY MEDICAL CENTER, PLLC

Practice address

808 Keller Pkwy
Keller, TX 76248-2405

Phone

(817) 431-2573

Fax

(817) 379-6881

NPI assigned

Feb 19, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Christopher D Dingess, DONPI 1982016192

Title

Physician/Owner

Phone

(817) 431-2573

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28296/brand/1/csg/1/fhir/r4
• Direct secure messaging: kgill@kellerfamilymedical.com

Practitioners 12

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

• Christopher Dingess, D.O.

  • Family Medicine Physician
  • Keller, TX
  • NPI 1982016192
  Medicare reassignment Care Compare group NPD Authorized official
• Amber Hatley, DO

  • Family Medicine Physician
  • Keller, TX
  • NPI 1770161416
  Medicare reassignment Care Compare group NPD
• Joseph William Burke III, DO

  • Family Medicine Physician
  • Keller, TX
  • NPI 1497799308
  Medicare reassignment NPD
• Lucille Kathryn McLean, APRN

  • Family Nurse Practitioner
  • Keller, TX
  • NPI 1548091945

  Family Medicine

  Medicare reassignment NPD
• Mallory Lambert Carletti, PA-C

  • Physician Assistant
  • Keller, TX
  • NPI 1134593957
  Medicare reassignment
• Jeffrey Lee Martz, PA-C

  • Medical Physician Assistant
  • Keller, TX
  • NPI 1376013771
  Medicare reassignment
• Amanda Patterson Wickson, PA-C

  • Physician Assistant
  • Keller, TX
  • NPI 1710177464
  Medicare reassignment
• Mistie B. Granberry, FNP

  • Nurse Practitioner
  • Fort Worth, TX
  • NPI 1639587462
  NPD
• Tracy Starnes, FNP-BC

  • Family Nurse Practitioner
  • Keller, TX
  • NPI 1649413261
  NPD
• Shannon Alysha McCaskey, FNP-BC

  • Family Nurse Practitioner
  • Keller, TX
  • NPI 1023341732
  NPD (past)
• Kelli Christine Rudd, NP

  • Family Nurse Practitioner
  • Burleson, TX
  • NPI 1801710710
  NPD (past)
• Heather Nicholson, PA-C

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1174777049
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1407489347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482405",
            "telephone_number": "817-431-2573",
            "fax_number": "817-379-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482405",
            "telephone_number": "817-431-2573",
            "fax_number": "817-379-6881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 E Renfro St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760283948",
            "country_code": "US",
            "telephone_number": "817-710-8800",
            "fax_number": "817-379-6881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELLER FAMILY MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "DINGESS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "817-431-2573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KGILL@KELLERFAMILYMEDICAL.COM",
            "affiliation": "N",
            "address_1": "808 Keller Pkwy",
            "city": "Keller",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762482405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keller Dermatology, P.a.
• Keller Disc and Spine, PLLC
• Keller Family Chiropractic P.C.
• Keller Family Dental PLLC
• Keller Family Dentistry, Sleep & Facial Pain PLLC
• Keller Foot and Ankle Associates, P.a.
• Keller Healing & Physical Medicine, P.a.
• Keller Isd
• Keller Parkway Dental PA
• Keller Parkway Family Dental, PLLC

• Family Medicine Physician in Keller, TX
• Providers in Keller, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.