Individual provider Active NPI

Kurt S Lindemann, D.D.S

  • General Practice Dentistry
  • Kalispell, MT
National Provider Identifier
1184741019
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2059 Issued in MT
Practice address
80 Four Mile Dr Ste 13
Kalispell, MT 59901-2665
Phone
(406) 752-8212
NPI assigned
Mar 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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 2059 MT Primary

Addresses

Primary practice location

80 Four Mile Dr Ste 13
Kalispell, MT 59901-2665

Mailing address

10 Logan Way
Kalispell, MT 59901-6869
Phone (406) 257-1156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150521000121 MT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375863004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2059MTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1184741019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LOGAN WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016869",
            "telephone_number": "406-257-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FOUR MILE DR STE 13",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012665",
            "telephone_number": "406-752-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEMANN",
        "first_name": "KURT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.