Katelyn Kay Diggs, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13577 Issued in MT

Practice address

1547 S Higgins Ave # 103
Missoula, MT 59801-4226

Phone

(406) 543-8591

NPI assigned

Jun 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katelyn Kay Diggs Other name

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1639550684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 S HIGGINS AVE # 103",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014226",
            "telephone_number": "406-543-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 S HIGGINS AVE # 103",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014226",
            "telephone_number": "406-543-8591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Brooks St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598017722",
            "country_code": "US",
            "telephone_number": "406-541-2886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGGS",
        "first_name": "KATELYN",
        "middle_name": "KAY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13536",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "13577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "DIGGS",
            "middle_name": "KAY",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gretchen Dierken
• Rachel Elaine Dierken
• Margot Grace Diffendaffer, CCC-SLP
• Diggs Dental Care
• D Briar Diggs, DDS MSD PC
• Gina Carol Digiusto, RN
• Sharon Winnona Dillon, LCSW
• Emily Anne Dillow, LCSW, LMSW
• Lukas Dinstbier
• Discovery Vision LLC

• General Practice Dentistry in Missoula, MT
• Providers in Missoula, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.