Organization Active NPI

Charles a Keller DDS and Associates

  • General Practice Dentistry
  • Saint Paul, MN
National Provider Identifier
1598935256
Registry record updated Mar 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8352 Issued in MN
Legal business name
CHARLES A KELLER DDS AND ASSOCIATES
Practice address
919 Maryland Ave E
Saint Paul, MN 55106-2618
Phone
(651) 776-8355
NPI assigned
Mar 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2008

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

Authorized official

Name
Dr. Charles A Keller, DDSNPI 1578652657
Title
President
Phone
(651) 776-8355

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 8352 MN Primary

Addresses

Primary practice location

919 Maryland Ave E
Saint Paul, MN 55106-2618

Mailing address

919 Maryland Ave E
Saint Paul, MN 55106-2618

National Provider Directory

National Provider Directory

Locations

919 Maryland Ave E
Saint Paul, MN 55106
Phone (651) 776-8355

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": "1204934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204934400000",
    "number": "1598935256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MARYLAND AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MARYLAND AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062618",
            "telephone_number": "651-776-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A KELLER DDS AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-08",
        "last_updated": "2008-03-08",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-776-8355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "8352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2008; 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.