West Range Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WEST RANGE DENTAL PLLC

Practice address

1043 E US Highway 169
Grand Rapids, MN 55744-3165

Phone

(218) 326-2560

NPI assigned

Oct 9, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

KYLE HAMMER DDS PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Kyle Donovan Hammer, DDSNPI 1679910905

Title

Owner President

Phone

(218) 348-4012

Specialties & licenses 1

Addresses

Part of

Kyle Hammer DDS PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Kyle Hammer DDS PLLC

  • Dental Clinic/Center
  • Duluth, MN
  • NPI 1972952265
  NPPES parent name

Practitioners 2

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.

• Kyle D. Hammer, D.D.S.

  • Dentist
  • Duluth, MN
  • NPI 1679910905
  NPD Authorized official
• Kimberly Ellen Rostvold, DDS

  • Pediatric Dentistry
  • Hermantown, MN
  • NPI 1417479700
  NPD

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1437978004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EASTRIDGE BLVD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558043124",
            "telephone_number": "218-348-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 E US HIGHWAY 169",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443165",
            "telephone_number": "218-326-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST RANGE DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KYLE HAMMER DDS PLLC",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "DONOVAN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "218-348-4012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Welcov Healthcare LLC (Evergreen Terrace Healthcare Community)
• Well PLLC (Well)
• Jackson Guy Wells
• Wendigo Pines Assisted Living
• West Missabe Orthodontics PLLC (Grand Rapids Orthodontics)
• Jenny Wettersten, MA, LP
• Gary Dean Wheelock, DC
• Chandra Lynn White, PMHNP
• Kaeley Therese Whiting Allen, MD
• Kelly Wier

• Dental Clinic/Center in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.