Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295884328 Deactivated / Inactive NPI Male Practitioner

Dr. Ralph L. Keller , DDS

Dentist - General Practice • Antioch, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ralph Keller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 09, 2007
NPI Deactivation Date August 19, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Keller, DDS was a registered Dentist - General Practice practicing in Antioch, CA. Throughout an active medical career spanning 15 years, Dr. Keller provided care at the practice location at 3107 LONE TREE WAY until profile deactivation on 2022-08-19.

Practice Location & Contact Primary Location

Practice Address

3107 Lone Tree Way
Suite A

Antioch, CA 945094959

Telephone 9257575081
Fax 9257574979
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Antioch, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Antioch, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 0516788

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Daniel Burk , DDS

Dentist - General Practice

NPI 1396894432

Doctor of Dental Surgery

Dr. Henry Vu , DDS

Dentist - Prosthodontics

NPI 1619099223

Doctor of Dental Surgery

Dr. Elmirra Dayrit , DDS

Dentist - General Practice

NPI 1841751310

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 19, 2022

Record deactivated on August 19, 2022

NPI Profile Active June 30, 2015

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2015

Registered at 3107 LONE TREE WAY, SUITE A, ANTIOCH, CA 945094959 (Tel: 9257575081)

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Updated Business Mailing Address June 30, 2015

Registered at 5125 PRAY CT, ANTIOCH, CA 945318573 (Tel: 9257571316)

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Provider Name / Credentials Updated June 30, 2015

Recorded as RALPH KELLER, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2015

Dentist (License #0516788 in CA)

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Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295884328
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: June 30, 2015
Deactivation Date: August 19, 2022

Mailing Address

5125 Pray Ct

Antioch, CA 945318573

Phone: 9257571316

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.