Organization Active NPI

Sunset Dental Care PC

  • Customized Equipment (DME)
  • Great Falls, MT
National Provider Identifier
1043686892
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1880 Issued in MT
Legal business name
SUNSET DENTAL CARE PC
Practice address
401 15TH Ave S
Suite 102
Great Falls, MT 59405-4334
Phone
(406) 952-0154
Fax
(406) 952-0153
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Schuyler A Vandyke, DMD, FAACP
Title
Dentist/Owner
Phone
(406) 952-0154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1880 MT
Customized Equipment (DME) 332BC3200X 1880 MT Primary

Addresses

Primary practice location

401 15TH Ave S
Suite 102
Great Falls, MT 59405-4334

Mailing address

417 2ND Ave SW
Conrad, MT 59425-1901
Phone (406) 278-3609

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1043686892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 2ND AVE SW",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594251901",
            "telephone_number": "406-278-3609",
            "fax_number": "406-278-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 15TH AVE S",
            "address_2": "SUITE 102",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054334",
            "telephone_number": "406-952-0154",
            "fax_number": "406-952-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "VANDYKE",
        "authorized_official_first_name": "SCHUYLER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "406-952-0154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, FAACP"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MT",
            "license": "1880",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MT",
            "license": "1880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.