NPIMap

Organization Active NPI

Abc Family Dental Keller LLC

Doing business as ABC Family Dental

  • General Practice Dentistry
  • Keller, TX
National Provider Identifier
1922426154
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24637 Issued in TX
Legal business name
ABC FAMILY DENTAL KELLER LLC
Doing business as
ABC Family Dental
Practice address
460 Keller Pkwy Ste E
Keller, TX 76248-2370
Phone
(817) 482-1555
Fax
(877) 230-8349
NPI assigned
Apr 4, 2014
Last updated
Apr 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Peter T Vo, DDS
Title
Owner
Phone
(817) 482-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24637 TX Primary

Addresses

Primary practice location

460 Keller Pkwy Ste E
Keller, TX 76248-2370

Mailing address

460 Keller Pkwy Ste E
Keller, TX 76248-2370
Phone (817) 482-1555

Other names 1

  • ABC Family Dental 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": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1922426154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 KELLER PKWY STE E",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482370",
            "telephone_number": "817-482-1555",
            "fax_number": "877-230-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 KELLER PKWY STE E",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482370",
            "telephone_number": "817-482-1555",
            "fax_number": "877-230-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC FAMILY DENTAL KELLER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-482-1555",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Family Dental",
            "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 Apr 4, 2014; 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.