KELLER SMILES LLC
NPI 1104478635
Clinic/Center - Dental in Keller, TX

NPI Status: Active since July 15, 2019

Contact Information

1540 KELLER PKWY STE 140
KELLER, TX
ZIP 76248
Phone: (682) 593-0993
Fax: (682) 593-0995

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About KELLER SMILES LLC

This page provides the complete NPI Profile along with additional information for Keller Smiles Llc, a provider established in Keller, Texas operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1104478635 assigned on July 2019. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Jesus Alvarado (Office Manager)

NPI
1104478635
Provider Name
KELLER SMILES LLC
Entity Type
Organization
Location Address
1540 KELLER PKWY STE 140 KELLER, TX 76248
Location Phone
(682) 593-0993
Location Fax
(682) 593-0995
Mailing Address
PO BOX 4400 SALEM, OR 97302
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-15-2019
Last Update Date
07-15-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • EssentialSmile Texas - Total Care - EPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JESUS ALVARADO

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(682) 593-0993

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104478635
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104871666
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 8 + 7 + 1 + 6 + 6 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1104478635 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104478635, enumerated in the NPI registry as an "organization" on July 15, 2019

The provider is located at 1540 Keller Pkwy Ste 140 Keller, Tx 76248 and the phone number is (682) 593-0993

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Aetna CVS Health, Solstice Healthplans of Texas,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 15, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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