Organization Active NPI

Sunset Dental Care PC

  • Durable Medical Equipment & Medical Supplies
  • Conrad, MT
National Provider Identifier
1144527508
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1880 Issued in MT
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

Updated by the provider on Jun 18, 2015

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.DNPI 1689890899
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0112438MedicaidMT

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.