Active NPI
Sunset Dental Care PC
- Durable Medical Equipment & Medical Supplies
- Conrad, MT
National Provider Identifier
1144527508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 1880
- Legal business name
- SUNSET DENTAL CARE PC
- Practice address
- 417 2ND Ave SW
Conrad, MT 59425-1901 - Phone
- (406) 278-3609
- Fax
- (406) 278-5458
- NPI assigned
- Feb 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Schuyler A Vandyke, D.M.D
- Title
- Owner/Dentist
- Phone
- (406) 278-3609
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1880 | MT | Primary |
Addresses
Primary practice location
417 2ND Ave SW
Conrad, MT 59425-1901
Mailing address
417 2ND Ave SW
Conrad, MT 59425-1901
Phone (406) 278-3609
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112438 | Medicaid | MT |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Customized Equipment (DME)
- Conrad, MT
- NPI 1689890899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1434585600000",
"number": "1144527508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 2ND AVE SW",
"city": "CONRAD",
"state": "MT",
"postal_code": "594251901",
"telephone_number": "406-278-3609",
"fax_number": "406-278-5458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 2ND AVE SW",
"city": "CONRAD",
"state": "MT",
"postal_code": "594251901",
"telephone_number": "406-278-3609",
"fax_number": "406-278-5458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSET DENTAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-22",
"last_updated": "2015-06-18",
"status": "A",
"authorized_official_last_name": "VANDYKE",
"authorized_official_first_name": "SCHUYLER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "406-278-3609",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MT",
"license": "1880",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112438",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conrad, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.