Dr. Kevin Pearson DDS

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. KEVIN PEARSON DDS

Practice address

121 W Kagy Blvd
Bozeman, MT 59715-6000

Phone

(406) 587-7200

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Tylie Blackburn

Title

Assitant

Phone

(406) 587-7200

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin M Pearson, D.D.S.

  • General Practice Dentistry
  • Bozeman, MT
  • NPI 1598828048
  NPD
• J. Robert Hickman, D.D.S.

  • General Practice Dentistry
  • Bozeman, MT
  • NPI 1770646234
  NPD (past)

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1245926575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W KAGY BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156000",
            "telephone_number": "406-587-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W KAGY BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156000",
            "telephone_number": "406-587-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KEVIN PEARSON DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "BLACKBURN",
        "authorized_official_first_name": "TYLIE",
        "authorized_official_title_or_position": "ASSITANT",
        "authorized_official_telephone_number": "406-587-7200"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891413167",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly J. Doyle, NNP
• Megan Doyle, PCLC
• Dr Richard Nichols Orthodontics
• Dr. Gary J. Litle, Chiropractic Physician, P.C.
• Dr. John J Siefke Psychological Services PLLC
• Dr. Victoria M. Valdesuso, PC
• Christa Drab, MS CCC-SLP
• Samantha Drab
• Amanda Nicole Dragonette
• Kirsten A Drake, PA-C

• Dentist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.