Organization Active NPI

West Keller Dental

  • Dentist
  • Fort Worth, TX
National Provider Identifier
1437467768
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24211 Issued in TX
Legal business name
WEST KELLER DENTAL
Practice address
4532 Golden Triangle Blvd
Fort Worth, TX 76244-6316
Phone
(817) 431-5953
Fax
(817) 431-5913
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Chirag S Patel, DDS
Title
Vice President
Phone
(817) 431-5953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 24211 TX Primary

Addresses

Primary practice location

4532 Golden Triangle Blvd
Fort Worth, TX 76244-6316

Mailing address

4532 Golden Triangle Blvd
Fort Worth, TX 76244-6316
Phone (817) 431-5953

National Provider Directory

National Provider Directory

Locations

4532 Golden Triangle Blvd
Fort Worth, TX 76244
Phone (817) 431-5953

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1437467768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 GOLDEN TRIANGLE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446316",
            "telephone_number": "817-431-5953",
            "fax_number": "817-431-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 GOLDEN TRIANGLE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446316",
            "telephone_number": "817-431-5953",
            "fax_number": "817-431-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST KELLER DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIRAG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "817-431-5953",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.