Individual provider Active NPI

Brandon Nelson Kiesling, D.M.D

  • General Practice Dentistry
  • Helena, MT
National Provider Identifier
1669735320
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN-DEN-LIC-4134 Issued in MT
Practice address
121 N Last Chance Gulch
Helena, MT 59601-4159
Phone
(406) 443-5526
NPI assigned
Jun 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN-DEN-LIC-4134 MT Primary

Addresses

Primary practice location

121 N Last Chance Gulch
Helena, MT 59601-4159

Mailing address

121 N Last Chance Gulch
Helena, MT 59601-4159
Phone (406) 443-5526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608000873 MT Order and Referring Only - Other (Non-Physician) 0648591271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN-DEN-LIC-4134MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Dental Care of Helena, PLLC Past Accepting new patients
Kiesling Dental Associates P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1669735320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N LAST CHANCE GULCH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014159",
            "telephone_number": "406-443-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N LAST CHANCE GULCH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014159",
            "telephone_number": "406-443-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESLING",
        "first_name": "BRANDON",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "DEN-DEN-LIC-4134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.