Kenneth A Madsen Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1634 Issued in MT

Practice address

1035 1St Ave West
Flathead Community Health Center
Kalispell, MT 59901-5607

Phone

(406) 751-8155

Fax

(406) 751-8151

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1457323719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE. WEST",
            "address_2": "FLATHEAD COMMUNITY HEALTH CENTER",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015607",
            "telephone_number": "406-751-8155",
            "fax_number": "406-751-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE WEST",
            "address_2": "FLATHEAD COMMUNITY HEALTH CENTER",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015607",
            "telephone_number": "406-751-8155",
            "fax_number": "406-751-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Allyn Lyons, RPH
• David Macneill, FNP-BC
• Niall Patrick Madigan, MD
• Raeanna Madigan, NP-BC
• Edward James Madler, MD
• Allie Maffit, M.D.
• Mark Erich Magill, MD
• Gena Mahilom, MASSAGE THERAPIST
• Katelyn Mahlum, FNP-C
• Theodore Maillette, MD

• General Practice Dentistry in Kalispell, MT
• Providers in Kalispell, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.