Individual provider Active NPI

Dane C Kinghorn, DMD

  • General Practice Dentistry
  • Belgrade, MT
National Provider Identifier
1134415722
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2460 Issued in MT
Practice address
412 W Main St
Suite 1
Belgrade, MT 59714-3828
Phone
(406) 388-8006
Fax
(406) 388-8712
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2460 MT Primary

Addresses

Primary practice location

412 W Main St
Suite 1
Belgrade, MT 59714-3828

Mailing address

412 W Main St
Suite 1
Belgrade, MT 59714-3828
Phone (406) 388-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 16, 2013 through Apr 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2460MTMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Belgrade Dental Associates, P.C. Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1134415722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W MAIN ST",
            "address_2": "SUITE 1",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143828",
            "telephone_number": "406-388-8006",
            "fax_number": "406-388-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W MAIN ST",
            "address_2": "SUITE 1",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143828",
            "telephone_number": "406-388-8006",
            "fax_number": "406-388-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGHORN",
        "first_name": "DANE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belgrade, MT

Sources for this page

Verify at the official NPI Registry.