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KELLER FAMILY MEDICAL CENTER, PLLC
NPI 1407489347
Family Medicine in Keller, TX

Active since February 19, 2020CLIA 45D0703778 · Waiver
808 KELLER PKWY, KELLER, TX 76248(817) 431-2573(817) 379-6881 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2022, Feb 19, 2020 (2 updates tracked since 2020).

About Keller Family Medical Center, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLER FAMILY MEDICAL CENTER, PLLC (NPI 1407489347) is a healthcare organization registered as a family medicine in Keller, Texas and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through April 13, 2027, maintains a secondary practice location in Burleson, and lists Christopher D Dingess, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1407489347
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKELLER FAMILY MEDICAL CENTER, PLLC
Location Address808 KELLER PKWYKeller, TX 76248-2405
Mailing Address808 Keller PkwyKeller, TX 76248-2405 · (817) 431-2573 · Fax (817) 379-6881
Phone(817) 431-2573
Fax(817) 379-6881
Organization SubpartNo
Authorized OfficialChristopher D DingessPhysician/owner · (817) 431-2573
Enumeration DateFebruary 19, 2020
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
✔ NPI 1407489347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
808 KELLER PKWY, Keller, TX 76248
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Secondary Practice Location 1

Location 1312 E Renfro St Ste 101Burleson, TX 76028-3948 · Phone (817) 710-8800 · Fax (817) 379-6881

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0703778

Keller Family Medical Center · Keller, TX
Active · expires Apr 13, 2027
CLIA Number45D0703778
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorChris Dingess
Laboratory Phone(817) 431-2573
Laboratory LocationKeller Family Medical Center808 Keller Parkway, Keller, TX 76248
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON ALYSHA MCCASKEY FNP-BC
Nurse Practitioner (Family)
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
MALLORY LAMBERT CARLETTI PA-C
Physician Assistant
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
DEVON PRICE MSN, APRN, FNP-C
Nurse Practitioner (Family)
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
MR. JEFFREY LEE MARTZ PA-C
Physician Assistant (Medical)
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
LUCILLE KATHRYN MCLEAN APRN
Nurse Practitioner (Family)
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
AMANDA PATTERSON WICKSON PA-C
Physician Assistant
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
AMBER HATLEY DO
Family Medicine
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573
BILL BURKE, DO A PROFESSIONAL ASSOCIATION
Family Medicine
808 KELLER PKWY
KELLER, TX 76248
Tarrant County (817) 431-2573

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keller Family Medical Center, PLLC's NPI number?

The NPI number for Keller Family Medical Center, PLLC is 1407489347. It was assigned to this organization in the NPPES registry on February 19, 2020.

Where is Keller Family Medical Center, PLLC located?

Keller Family Medical Center, PLLC is located at 808 Keller Pkwy, Keller, TX 76248. The listed phone number is (817) 431-2573.

What is Keller Family Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Keller Family Medical Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0703778) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Keller Family Medical Center, PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Keller Family Medical Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keller Family Medical Center, PLLC was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.