Organization Active NPI

Kenworthy Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Missoula, MT
National Provider Identifier
1356247977
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
KENWORTHY ORTHODONTICS
Practice address
3020 S Reserve St Ste E
Missoula, MT 59801-7652
Phone
(406) 721-2796
NPI assigned
Oct 19, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Dr. Christian Kenworthy, DDSNPI 1861557308
Title
Doctor
Phone
(469) 963-0340

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3020 S Reserve St Ste E
Missoula, MT 59801-7652

Mailing address

3020 S Reserve St Ste E
Missoula, MT 59801-7652
Phone (406) 721-2796

Other practice location 1

300 Park Dr S
Great Falls, MT 59405-1819
Phone (406) 454-1101

National Provider Directory

National Provider Directory

Locations

3020 S Reserve St
Ste E
Missoula, MT 59801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1356247977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 S RESERVE ST STE E",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017652",
            "telephone_number": "406-721-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S RESERVE ST STE E",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017652",
            "telephone_number": "406-721-2796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Park Dr S",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594051819",
            "country_code": "US",
            "telephone_number": "406-454-1101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENWORTHY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "469-963-0340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.