Organization Active NPI

Keller Dentistry LLC

Doing business as The Dok - Dentist of Keller

  • Dental Clinic/Center
  • Keller, TX
National Provider Identifier
1720546401
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KELLER DENTISTRY LLC
Doing business as
The Dok - Dentist of Keller
Practice address
1431 Keller Pkwy Ste 300
Keller, TX 76248-3860
Phone
(817) 752-9828
Fax
(817) 752-9829
NPI assigned
Mar 12, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Allen Charles, DDS
Title
Owner
Phone
(817) 752-9828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1431 Keller Pkwy Ste 300
Keller, TX 76248-3860

Mailing address

1431 Keller Pkwy Ste 300
Keller, TX 76248-3860
Phone (817) 752-9828

Other names 1

  • The Dok - Dentist of Keller Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1720546401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 KELLER PKWY STE 300",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483860",
            "telephone_number": "817-752-9828",
            "fax_number": "817-752-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 KELLER PKWY STE 300",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483860",
            "telephone_number": "817-752-9828",
            "fax_number": "817-752-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-752-9828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dok - Dentist of Keller",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 11, 2019; 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.