Keller Modern Dentistry and Orthodontics, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KELLER MODERN DENTISTRY AND ORTHODONTICS, PC

Practice address

5701 N. Tarrant Pkwy
Suite 101
Fort Worth, TX 76137

Phone

(817) 534-6455

Fax

(817) 534-6499

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

Kerry Ragbir, D.D.S.

Title

Owner

Phone

(817) 534-6455

Specialties & licenses 1

Addresses

Other names 1

• Keller Modern Dentistry and Orthodontics Doing business as

Locations

Practitioners 3

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

• Melissa Y Cruz

  • General Practice Dentistry
  • Irving, TX
  • NPI 1336840404
  NPD (past)
• Sarah Oushy, DMD

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1649849563
  NPD (past)
• Shreya Patel, D.D.S.

  • Dentist
  • Fort Worth, TX
  • NPI 1902050594

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1992103295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8900",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 N. TARRANT PKWY",
            "address_2": "SUITE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76137",
            "telephone_number": "817-534-6455",
            "fax_number": "817-534-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER MODERN DENTISTRY AND ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "RAGBIR",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-534-6455",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keller Modern Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Kellam, PSYCHOLOGIST
• Shane Kelleher, PA-C
• Steven L. Kellenberger, DC
• Keller Crossing Dentistry PLLC
• Keller Desai Dental PLLC
• Keller Vision Corporation
• Payton Keller, DDS
• Robert Tyson Keller, MD
• Robin J Keller, MS, SLP/CCC
• Stewart R Keller, DO

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.