Doctor profile · Federal record
Dr. Payton Keller, DDS
General Practice Dentistry · Fort Worth, TX
- NPI 1790416345
- 4 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
4930 Camp Bowie Blvd
Fort Worth, TX 761074153
(402) 216-9318 - Mailing address
-
2640 Waters Edge Ln
Fort Worth, TX 761160521
Credentials & registration
- NPI registered
- June 2022 — 4 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Texas #38483
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790416345. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$120
Transactions
5
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| BioHorizons Implant Systems INC. | 1 | $53.68 | |
| Dentsply Sirona INC | 1 | $30.57 | |
| Align Technology, INC. | 1 | $16.91 | |
| Philips North America LLC | 1 | $16.33 | |
| Ultradent Products INC | 1 | $2.90 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
22
Patients
22
Total drug cost
$102
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 22 | 22 | $102 |
Frequently asked questions
What is Dr. Payton Keller's medical specialty?
Dr. Payton Keller practices General Practice Dentistry in Fort Worth, TX.
Where does Dr. Payton Keller practice?
Dr. Payton Keller practices at 4930 Camp Bowie Blvd, Fort Worth, TX 761074153. Office phone: 4022169318.
What is Dr. Payton Keller's NPI?
Dr. Payton Keller's National Provider Identifier (NPI) is 1790416345, issued by NPPES.