Active NPI
Sunset Dental Care PC
- Customized Equipment (DME)
- Great Falls, MT
National Provider Identifier
1043686892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- 1880
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryNPI 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.