NPIMap

Organization Active NPI

Brian J Keller DDS & Tracie E Keller DDS Prof LLP

  • General Practice Dentistry
  • Colorado Springs, CO
National Provider Identifier
1497468391
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIAN J KELLER DDS & TRACIE E KELLER DDS PROF LLP
Practice address
6760 Corporate Drive
Suite 270
Colorado Springs, CO 80919
Phone
(719) 528-8822
Fax
(719) 593-9855
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Tracie E Keller, DDSNPI 1184634552
Title
Owner
Phone
(719) 528-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6760 Corporate Drive
Suite 270
Colorado Springs, CO 80919

Mailing address

6760 Corporate Drive
Suite 270
Colorado Springs, CO 80919
Phone (719) 528-8822

National Provider Directory

National Provider Directory

Locations

6760 Corporate Dr
Ste 270
Colorado Springs, CO 80919
Phone (719) 528-8822

Practitioners & affiliated clinicians

Practitioners 3

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": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1497468391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 CORPORATE DRIVE",
            "address_2": "SUITE 270",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80919",
            "telephone_number": "719-528-8822",
            "fax_number": "719-593-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 CORPORATE DRIVE",
            "address_2": "SUITE 270",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80919",
            "telephone_number": "719-528-8822",
            "fax_number": "719-593-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J KELLER DDS & TRACIE E KELLER DDS PROF LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-528-8822",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.