Kevin Lynn Guymon, D. D. S.

Primary specialty

DentistTaxonomy code 122300000X

License

8273266-9921 Issued in UT

Practice address

1301 12TH Ave S Ste 100
Great Falls, MT 59405-4600

Phone

(801) 698-7632

NPI assigned

Jul 16, 2012

Last updated

Jun 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• K. Guymon Dental, LLC

  • Dental Clinic/Center
  • Great Falls, MT
  • NPI 1699333864
  NPD (past) Authorized official

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1114272226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 3RD AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594011508",
            "telephone_number": "018-698-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 12TH AVE S STE 100",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054600",
            "telephone_number": "801-698-7632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 Upper Box Elder Rd",
            "address_purpose": "LOCATION",
            "city": "Box Elder",
            "state": "MT",
            "postal_code": "58521",
            "country_code": "US",
            "telephone_number": "406-395-4486",
            "fax_number": "406-395-4138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUYMON",
        "first_name": "KEVIN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D. D. S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-16",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "8273266-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukant Gupta, MD
• Benjamin Gustafson, PHARMD
• Karl A Guter, MD
• David Earl Guth, M.D.
• Jennalie Dawn Guthmiller, FNP
• Nikita Guza, LMT
• Carly Christine Gysler
• Aimee Varteny Hachigian-Gould, MD
• John C. Hackethorn, MD
• Meghan Luella Hackett, BSN, RN

• Dentist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.