NPIMap

Organization Active NPI

Kiddsteeth PLLC

  • Pediatric Dentistry
  • Kalispell, MT
National Provider Identifier
1104176445
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2005 Issued in MT
Legal business name
KIDDSTEETH PLLC
Practice address
60 Four Mile Dr
Suite 10
Kalispell, MT 59901-2663
Phone
(406) 756-1142
Fax
(406) 756-1143
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Dr. Reed Edward Thompson, DDSNPI 1154389526
Title
Owner
Phone
(406) 756-1142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 2005 MT Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 2220 MT

Addresses

Primary practice location

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

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1154389526MedicaidMT
1619030186MedicaidMT

Other names 1

  • Kalispell KiDDS Doing business as

National Provider Directory

National Provider Directory

Locations

1252 N Meridian Rd
Kalispell, MT 59901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1104176445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FOUR MILE DR",
            "address_2": "SUITE 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",
            "address_2": "SUITE 10",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012663",
            "telephone_number": "406-756-1142",
            "fax_number": "406-756-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDSTEETH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "REED",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-756-1142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MT",
            "license": "2005",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MT",
            "license": "2220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154389526",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619030186",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalispell KiDDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 13, 2012; 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.