Organization 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
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.