Havre Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

HAVRE PEDIATRIC DENTISTRY

Practice address

515 14TH St W
Havre, MT 59501-5121

Phone

(406) 235-5218

NPI assigned

Oct 12, 2020

Organization subpart

No

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

Authorized official

Name

Kevin Rencher, DDS

Title

Dentist

Phone

(406) 449-0189

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1124626262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 14TH ST W",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015121",
            "telephone_number": "406-235-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 14TH ST W",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595015121",
            "telephone_number": "406-235-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVRE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "RENCHER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "406-449-0189",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Havre Chiropractic Clinic, LLC
• Havre Day Activity Center, Inc
• Havre Dental Group Inc
• Havre Denture LLC
• Havre Optometric Clinic, PLLP
• Havre Public Schools
• Health Services Montana LLC
• Dennis Heggem
• Jamie Helm, LCSW
• Dale Herd, PA-C

• Pediatric Dentistry in Havre, MT
• Providers in Havre, MT by specialty
• Pediatric Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.