NPIMap

Organization Active NPI

Keller Town Dental

  • Dentist
  • Keller, TX
National Provider Identifier
1447620133
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KELLER TOWN DENTAL
Practice address
121 Rufe Snow Dr Ste 111
Keller, TX 76248-2111
Phone
(817) 337-7941
NPI assigned
Oct 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Authorized official

Name
Mrs. Melanie R Carpenter
Title
Practice Manager
Phone
(817) 680-9985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

121 Rufe Snow Dr Ste 111
Keller, TX 76248-2111

Mailing address

121 Rufe Snow Dr Ste 111
Keller, TX 76248-2111
Phone (817) 337-7941

National Provider Directory

National Provider Directory

Locations

121 Rufe Snow Dr
Ste 111
Keller, TX 76248
Phone (817) 337-7941

Practitioners & affiliated clinicians

Practitioners 2

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": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1447620133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RUFE SNOW DR STE 111",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482111",
            "telephone_number": "817-337-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RUFE SNOW DR STE 111",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482111",
            "telephone_number": "817-337-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER TOWN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "817-680-9985",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.