Individual provider Active NPI

Kim R Dunlap, RDH, BS

  • Dental Hygienist
  • Great Falls, MT
National Provider Identifier
1326211145
Registry record updated Apr 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
1060 Issued in MT
Practice address
303 2ND Ave SW
Great Falls, MT 59404-2901
Phone
(406) 799-3876
NPI assigned
Apr 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 1060 MT Primary

Addresses

Primary practice location

303 2ND Ave SW
Great Falls, MT 59404-2901

Mailing address

303 2ND Ave SW
Great Falls, MT 59404-2901
Phone (406) 799-3876

Other names 1

  • Kim Dunlap Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1208044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208044800000",
    "number": "1326211145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 2ND AVE SW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594042901",
            "telephone_number": "406-799-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 2ND AVE SW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594042901",
            "telephone_number": "406-799-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "KIM",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RDH, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-13",
        "last_updated": "2008-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MT",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "DUNLAP",
            "credential": "RDH, BS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2008; 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.