NPIMap

Organization Active NPI

Rimrock Pediatric Dentistry

  • Pediatric Dentistry
  • Billings, MT
National Provider Identifier
1629324306
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
RIMROCK PEDIATRIC DENTISTRY
Practice address
1601 Zimmerman Trail
Suite 1
Billings, MT 59102-7652
Phone
(406) 248-3303
Fax
(406) 248-3939
NPI assigned
Jul 31, 2012
Last updated
Jan 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Dr. Brady S. Keller, DMDNPI 1063662294
Title
Owner
Phone
(406) 248-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1601 Zimmerman Trail
Suite 1
Billings, MT 59102-7652

Mailing address

1601 Zimmerman Trail
Suite 1
Billings, MT 59102-7652
Phone (406) 248-3303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1629324306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ZIMMERMAN TRAIL",
            "address_2": "SUITE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027652",
            "telephone_number": "406-248-3303",
            "fax_number": "406-248-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ZIMMERMAN TRAIL",
            "address_2": "SUITE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027652",
            "telephone_number": "406-248-3303",
            "fax_number": "406-248-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIMROCK PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-248-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "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 Jan 2, 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.