Kristopher Jacob Keller, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12948 Issued in TN

Practice address

1200 Pulitzer PL
Kingsport, TN 37660-1568

Phone

(423) 246-3001

NPI assigned

Dec 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kristopher Keller DDS Ms PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kingsport, TN
  • NPI 1265301238
  NPD Authorized official
• Pulitzer Orthodontics, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kingsport, TN
  • NPI 1053813527
  NPD (past)
• Unmc College of Dentistry

  • Dentist
  • Lincoln, NE
  • NPI 1649646746
  NPD (past)

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1730650037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PULITZER PL",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376601568",
            "telephone_number": "423-246-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PULITZER PL",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376601568",
            "telephone_number": "423-246-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KRISTOPHER",
        "middle_name": "JACOB",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-12",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "12948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Kauzlarich, D.O.
• W Jan Kazmier, M.D.
• Tonya Jean Keen
• Zachary Kegley, DO
• Meghan Keita, DPT, PT
• Tonya Kennard, LPC-MHSP
• Hunter Kenney
• Kenyon Brennan and Day Assoc. Inc.
• Lisa Marie Ketchem, FNP-C
• Dylan Ketner, PTA

• Orthodontics and Dentofacial Orthopedics Dentistry in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.