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Keller Northcutt

Dentist - General Practice β€’ Marshall, TX

Active NPI 1164124798 Individual Practitioner Male Practitioner
Practice location in NPPES

100 Forrest Ter
Marshall, TX 756706804

Call 9039388315 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

100 Forrest Ter

Marshall, TX 756706804

Telephone 9039388315
Organization at the Same NPPES Address or Phone
Marshall Family Dental Pllc Facility NPI 1861749970

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Nederland, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

Dentist - General Practice: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $157.01 across 3 records.

By nature of payment

  • Education: $125.00 across 1 record.
  • Food and Beverage: $23.31 across 1 record.
  • Gift: $8.70 across 1 record.

Reporting-company totals

  • Align Technology, Inc.: $157.01 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Marshall and Texas

14 active clinicians are listed under Dentist - General Practice with a practice address in Marshall, TX (10,075 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Marshall

0% of these 14 clinicians have the CMS telehealth indicator.

0% of these 14 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $157.01.

Manufacturer Payment Nature Product Type Amount ($)
Align Technology, Inc.
Education
Cash or cash equivalent
Invisalign General $125.00
Align Technology, Inc.
Food and Beverage
Cash or cash equivalent
Invisalign General $23.31
Align Technology, Inc.
Gift
Cash or cash equivalent
Invisalign General $8.70

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES TX 40581

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

1803 N 18th St

Nederland, TX 776274856

Phone: 4097273511

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1689418097

Doctor of Dental Surgery

Dr. Jacob Bonola , DMD

Dentist - Dental Public Health

NPI 1497479877

Doctor of Dental Medicine

Scott Witte

Dentist - General Practice

NPI 1760746283
Feda Zayed

Dentist - General Practice

NPI 1073918678

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 11, 2025

Registered at 100 FORREST TER, MARSHALL, TX 756706804 (Tel: 9039388315)

πŸ“
Updated Business Mailing Address June 11, 2025

Registered at 100 FORREST TER, MARSHALL, TX 756706804

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2025

Dentist (license number reported to NPPES: TX 40581)

βœ…
NPI Profile Active March 20, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 20, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

πŸ“
Business Mailing Address (Initial Record) March 20, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

πŸ‘€
Provider Name / Credentials (Initial Record) March 20, 2023

Recorded as KELLER NORTHCUTT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 20, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164124798
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2023
Last Update: June 11, 2025
Sole Proprietor: No

Other Dentist - General Practices in Marshall

All Dentist - General Practices in Marshall

Mailing Address

100 Forrest Ter

Marshall, TX 756706804

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.