NPIMap

Organization Active NPI

Kericksen, DMD PLLC

  • Dental Clinic/Center
  • Billings, MT
National Provider Identifier
1508639311
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KERICKSEN, DMD PLLC
Practice address
2700 Grand Ave Ste C
Billings, MT 59102-2682
Phone
(406) 652-9100
NPI assigned
Nov 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Dr. Kurt Ericksen, DMDNPI 1124683172
Title
Owner
Phone
(406) 591-7279

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2700 Grand Ave Ste C
Billings, MT 59102-2682

Mailing address

2700 Grand Ave Ste C
Billings, MT 59102-2682
Phone (406) 652-9100

National Provider Directory

National Provider Directory

Locations

2700 Grand Ave
Ste C
Billings, MT 59102
Phone (406) 652-9100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1508639311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GRAND AVE STE C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022682",
            "telephone_number": "406-652-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 GRAND AVE STE C",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591022682",
            "telephone_number": "406-652-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERICKSEN, DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "ERICKSEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-591-7279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.