NPIMap

Organization Active NPI

Kalispell Kidds

  • Pediatric Dentistry
  • Kalispell, MT
National Provider Identifier
1053556084
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KALISPELL KIDDS
Practice address
60 Four Mile Dr Ste 10
Kalispell, MT 59901-2663
Phone
(406) 756-1142
Fax
(406) 756-1143
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Kimberly Michelle Kramer
Title
Owner/ Office Manager
Phone
(406) 730-2383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

60 Four Mile Dr Ste 10
Kalispell, MT 59901-2663

Mailing address

60 Four Mile Dr Ste 10
Kalispell, MT 59901-2663
Phone (406) 756-1142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1053556084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FOUR MILE DR STE 10",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012663",
            "telephone_number": "406-756-1142",
            "fax_number": "406-756-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FOUR MILE DR STE 10",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012663",
            "telephone_number": "406-756-1142",
            "fax_number": "406-756-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALISPELL KIDDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/ OFFICE MANAGER",
        "authorized_official_telephone_number": "406-730-2383"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.