NPIMap

Organization Active NPI

Nybo and Van Kirk Dental, LLC

  • Dentist
  • Bozeman, MT
National Provider Identifier
1386882876
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2265 Issued in MT
Legal business name
NYBO AND VAN KIRK DENTAL, LLC
Practice address
1125 W Kagy Blvd
Suite 200
Bozeman, MT 59715-5881
Phone
(406) 587-1688
Fax
(406) 582-5473
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Kenneth Charles Van Kirk, D.D.S.NPI 1134135825
Title
Officer
Phone
(406) 587-1688

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2265 MT Primary

Addresses

Primary practice location

1125 W Kagy Blvd
Suite 200
Bozeman, MT 59715-5881

Mailing address

1125 W Kagy Blvd
Suite 200
Bozeman, MT 59715-5881
Phone (406) 587-1688

Other names 1

  • Art of Dentistry Other name

National Provider Directory

National Provider Directory

Locations

1125 W Kagy Blvd
Ste 200
Bozeman, MT 59715
Phone (406) 587-1688

Practitioners & affiliated clinicians

Practitioners 3

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": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1386882876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W KAGY BLVD",
            "address_2": "SUITE 200",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155881",
            "telephone_number": "406-587-1688",
            "fax_number": "406-582-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W KAGY BLVD",
            "address_2": "SUITE 200",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155881",
            "telephone_number": "406-587-1688",
            "fax_number": "406-582-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYBO AND VAN KIRK DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "VAN KIRK",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "406-587-1688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MT",
            "license": "2265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Art of Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.