Organization Active NPI

Keller Disc and Spine, PLLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Keller, TX
National Provider Identifier
1699354795
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
KELLER DISC AND SPINE, PLLC
Practice address
1710 Rufe Snow Dr Ste 120
Keller, TX 76248-5501
Phone
(817) 656-1615
Fax
(817) 428-0573
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Arthur Michael Gray, DCNPI 1487765806
Title
Ceo
Phone
(817) 656-1615

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
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

1710 Rufe Snow Dr Ste 120
Keller, TX 76248-5501

Mailing address

1710 Rufe Snow Dr Ste 120
Keller, TX 76248-5501
Phone (817) 656-1615

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1699354795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 RUFE SNOW DR STE 120",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485501",
            "telephone_number": "817-656-1615",
            "fax_number": "817-428-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 RUFE SNOW DR STE 120",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485501",
            "telephone_number": "817-656-1615",
            "fax_number": "817-428-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER DISC AND SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-656-1615",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "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 Apr 6, 2021; 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.