KELLER MODERN DENTISTRY AND ORTHODONTICS
NPI 1992103295
Dentist - General Practice in Fort Worth, TX

Active since December 18, 2014
5701 N. TARRANT PKWY, SUITE 101, FORT WORTH, TX 76137(817) 534-6455(817) 534-6499 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keller Modern Dentistry And Orthodontics NPPES

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

KELLER MODERN DENTISTRY AND ORTHODONTICS (NPI 1992103295) is a healthcare organization registered as a general practice in Fort Worth, Texas and active in the NPI registry since December 2014. The organization lists Kerry Ragbir, Owner, as its authorized official.

NPPES Registry Identity

NPI1992103295
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKELLER MODERN DENTISTRY AND ORTHODONTICS, PC
Location Address5701 N. TARRANT PKWY, SUITE 101Fort Worth, TX 76137
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8900 · Fax (949) 474-1495
Fax(817) 534-6499
Organization SubpartNo
Authorized OfficialKerry RagbirOwner · (817) 534-6455
Enumeration DateDecember 18, 2014
NPI 1992103295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5701 N. TARRANT PKWY, Fort Worth, TX 76137

Other Names 1

Doing Business AsKeller Modern Dentistry And Orthodontics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 Modern Dentistry And Orthodontics, PC's NPI number?

The NPI number for Keller Modern Dentistry And Orthodontics, PC is 1992103295. It was assigned to this organization in the NPPES registry on December 18, 2014. The provider is doing business as Keller Modern Dentistry And Orthodontics.

Where is Keller Modern Dentistry And Orthodontics, PC located?

Keller Modern Dentistry And Orthodontics, PC is located at 5701 N. Tarrant Pkwy Suite 101, Fort Worth, TX 76137. The listed phone number is (817) 534-6455.

What is Keller Modern Dentistry And Orthodontics, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Keller Modern Dentistry And Orthodontics, PC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Keller Modern Dentistry And Orthodontics, PC 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 Modern Dentistry And Orthodontics, PC was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.