Keller Crossing Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KELLER CROSSING DENTISTRY PLLC

Practice address

11751 Alta Vista Rd Ste 403
Fort Worth, TX 76244-6441

Phone

(682) 593-3198

NPI assigned

Dec 25, 2024

Organization subpart

No

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

Authorized official

Name

Chiyuan Chen, DDS

Title

Owner

Phone

(682) 593-3198

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1735084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736035200000",
    "number": "1699583476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD STE 403",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446441",
            "telephone_number": "682-593-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11751 ALTA VISTA RD STE 403",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446441",
            "telephone_number": "682-593-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER CROSSING DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-25",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHIYUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-593-3198",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine T Kelebeng
• Howard M Kelfer, MD
• Theresa Kellam, PSYCHOLOGIST
• Shane Kelleher, PA-C
• Steven L. Kellenberger, DC
• Keller Desai Dental PLLC (Care 32 Dental)
• Keller Modern Dentistry and Orthodontics, PC (Keller Modern Dentistry and Orthodontics)
• Keller Vision Corporation (Apex Eye Care)
• Payton Keller, DDS
• Robert Tyson Keller, MD

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2025; 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.