Active NPI
Krey Thomas Keller, DDS
- Dentist
- Fort Carson, CO
National Provider Identifier
1841720828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00203173
- Practice address
- US Army Dental Health Activity
1667 Cochrane Circle BLDG 7495
Fort Carson, CO 80913 - Phone
- (719) 526-5537
- NPI assigned
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00203173 | CO | Primary |
Addresses
Primary practice location
US Army Dental Health Activity
1667 Cochrane Circle BLDG 7495
Fort Carson, CO 80913
Mailing address
US Army Dental Health Activity
650 Huebner Road
Fort Riley, KS 66442
Phone (785) 239-7241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00203173 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1841720828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "US ARMY DENTAL HEALTH ACTIVITY",
"address_2": "650 HUEBNER ROAD",
"city": "FORT RILEY",
"state": "KS",
"postal_code": "66442",
"telephone_number": "785-239-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US ARMY DENTAL HEALTH ACTIVITY",
"address_2": "1667 COCHRANE CIRCLE BLDG 7495",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-5537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "KREY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2022-08-02",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00203173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.