Kera Dental Clinics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

31345 Issued in TX

Legal business name

KERA DENTAL CLINICS

Doing business as

South Lamar Smiles

Practice address

2708 S Lamar Blvd # 100a
Austin, TX 78704-3964

Phone

(732) 770-2996

NPI assigned

Aug 24, 2018

Organization subpart

No

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

Authorized official

Name

Keshavi Patel, DDSNPI 1689040040

Title

Dentist

Phone

(732) 770-2996

Specialties & licenses 1

Addresses

Other names 1

• South Lamar Smiles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keshavi G Patel, D.D.S

  • Dentist
  • Kyle, TX
  • NPI 1689040040
  NPD (past) Authorized official

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1851872113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 ASPEN HIGHLANDS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787464962",
            "telephone_number": "732-770-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 S LAMAR BLVD # 100A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787043964",
            "telephone_number": "732-770-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERA DENTAL CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KESHAVI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-770-2996",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "31345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Lamar Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Lamar Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabel Margot Keogh, MA, LPC
• Elise Nicole Keoghan, LPC
• Diana Lynn Keough, OTR
• Karen Cecilia Keough, MD
• Dee Ann Kepler, RN
• Carolyn Kerby, P.T.
• Faraz Kerendi, MD
• Daniela Kerguelen Murcia
• Raj Dilip Keriwala, MD
• Shilpa P Kerkar, OTR/L

• Dental Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.