Active NPI
Kacie L McKeon, DMD
- General Practice Dentistry
- Helena, MT
National Provider Identifier
1376324582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN-DEN-LIC-26121
- Practice address
- 630 N Last Chance Gulch Ste 1100
Helena, MT 59601-3551 - Phone
- (406) 457-0000
- NPI assigned
- Oct 12, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN-DEN-LIC-26121 | MT | Primary |
Addresses
Primary practice location
630 N Last Chance Gulch Ste 1100
Helena, MT 59601-3551
Mailing address
280 Grizz Ave # 280-a
Helena, MT 59602-7176
Phone (406) 560-7723
Other practice location 1
445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 496-6007
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250318001072 | MT | Order and Referring Only - Dentist | 3779005913 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-DEN-LIC-26121 | MT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1376324582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 GRIZZ AVE # 280-A",
"city": "HELENA",
"state": "MT",
"postal_code": "596027176",
"telephone_number": "406-560-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 N LAST CHANCE GULCH STE 1100",
"city": "HELENA",
"state": "MT",
"postal_code": "596013551",
"telephone_number": "406-457-0000"
}
],
"practiceLocations": [
{
"address_1": "445 Centennial Ave",
"address_purpose": "LOCATION",
"city": "Butte",
"state": "MT",
"postal_code": "597012870",
"country_code": "US",
"telephone_number": "406-496-6007",
"fax_number": "406-496-6035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKEON",
"first_name": "KACIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-12",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "DEN-DEN-LIC-26121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.