NPIMap

Organization Active NPI

Michael a. Keller DDS, PC

  • Pediatric Dentistry
  • Birmingham, AL
National Provider Identifier
1801925656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4936 Issued in AL
Legal business name
MICHAEL A. KELLER DDS, PC
Practice address
2045 Brookwood Medical Ctr Dr
Suite 5-7
Birmingham, AL 35209-6874
Phone
(205) 870-7110
Fax
(205) 871-3339
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Aaon Keller, DDS, PCNPI 1477572741
Title
Pediatric Dentist
Phone
(205) 870-7110

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 4936 AL Primary

Addresses

Primary practice location

2045 Brookwood Medical Ctr Dr
Suite 5-7
Birmingham, AL 35209-6874

Mailing address

2045 Brookwood Medical Ctr Dr
Suite 5-7
Birmingham, AL 35209-6874
Phone (205) 870-7110

National Provider Directory

National Provider Directory

Locations

2045 Medical Center Dr
Ste 57
Birmingham, AL 35209
Phone (205) 870-7110

2045 Medical Center Dr
Ste 7
Birmingham, AL 35209

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801925656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 5-7",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096874",
            "telephone_number": "205-870-7110",
            "fax_number": "205-871-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 BROOKWOOD MEDICAL CTR DR",
            "address_2": "SUITE 5-7",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096874",
            "telephone_number": "205-870-7110",
            "fax_number": "205-871-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. KELLER DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "AAON",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "205-870-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PC"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "4936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.