Individual provider Active NPI

Kevin S Payne, D.O., M.P.H.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Whitefish, MT
National Provider Identifier
1538360284
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
MED-PHYS-LIC-59640 Issued in MT
Practice address
6003 St Moritz Dr Apt a
Whitefish, MT 59937-3279
Phone
(202) 714-3101
NPI assigned
May 30, 2007
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 20A14282 CA
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MED-PHYS-LIC-59640 MT Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 0102202113 VA

Addresses

Primary practice location

6003 St Moritz Dr Apt a
Whitefish, MT 59937-3279

Mailing address

6003 St Moritz Dr Apt a
Whitefish, MT 59937-3279
Phone (202) 714-3101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A14282CAMDPreventive Medicine/Occupational Environmental Medicine Physician
0102202113VAMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1538360284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 ST MORITZ DR APT A",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599373279",
            "telephone_number": "202-714-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 ST MORITZ DR APT A",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599373279",
            "telephone_number": "202-714-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "KEVIN",
        "middle_name": "S",
        "credential": "D.O., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "20A14282",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MT",
            "license": "MED-PHYS-LIC-59640",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "VA",
            "license": "0102202113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.