OrganizationActive
Pediatric Dentistry of Keller PLLC
NPI 1750934253 · Pediatric Dentistry · Keller, TX
Pediatric Dentistry of Keller PLLC is a Pediatric Dentistry organization in Keller, TX (NPI 1750934253).
Provider details
- NPI number
- 1750934253
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jacob Johnson, Member(480) 207-9709
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1627 Keller Parkway
Suite 100
Keller, TX 76248
Phone: (480) 207-9709
Street-level locationGet directions
Mailing address
2101 Bradley Dr
Keller, TX 76248-6868
Registry dates
- Enumerated
- 2019-07-23
- Last updated
- 2019-07-23
Frequently asked questions
- What is Pediatric Dentistry of Keller PLLC's NPI number?
- Pediatric Dentistry of Keller PLLC's National Provider Identifier (NPI) is 1750934253, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of Keller PLLC?
- Pediatric Dentistry of Keller PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry of Keller PLLC located?
- Pediatric Dentistry of Keller PLLC's practice location on file with NPPES is 1627 Keller Parkway, Keller, TX 76248.
- What is Pediatric Dentistry of Keller PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of Keller PLLC is (480) 207-9709.
- Who is the authorized official for Pediatric Dentistry of Keller PLLC?
- The authorized official listed on Pediatric Dentistry of Keller PLLC's NPPES record is Jacob Johnson, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of Keller PLLC's NPI active?
- Yes — Pediatric Dentistry of Keller PLLC's NPI (1750934253) is active in the NPPES registry as of the last update on 2019-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.