Active NPI
Theodore K. Kulaga, D.D.S., P. C.
Doing business as Livingston Dental Care
- General Practice Dentistry
- Livingston, MT
National Provider Identifier
1629123674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- THEODORE K. KULAGA, D.D.S., P. C.
- Doing business as
- Livingston Dental Care
- Practice address
- 422 S Main St
Livingston, MT 59047-3456 - Phone
- (406) 222-6061
- Fax
- (406) 222-6062
- NPI assigned
- Jan 23, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Theodore K Kulaga, D.D.S.
- Title
- Senior Partner
- Phone
- (406) 222-6061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
422 S Main St
Livingston, MT 59047-3456
Mailing address
422 S Main St
Livingston, MT 59047-3456
Phone (406) 222-6061
Other names 1
- Livingston Dental Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629123674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 S MAIN ST",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590473456",
"telephone_number": "406-222-6061",
"fax_number": "406-222-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 S MAIN ST",
"city": "LIVINGSTON",
"state": "MT",
"postal_code": "590473456",
"telephone_number": "406-222-6061",
"fax_number": "406-222-6062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THEODORE K. KULAGA, D.D.S., P. C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KULAGA",
"authorized_official_first_name": "THEODORE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "SENIOR PARTNER",
"authorized_official_telephone_number": "406-222-6061",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Livingston Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Livingston, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.