Peter Ivey LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PETER IVEY LLC

Practice address

555 Corporate Dr Ste 204
Kalispell, MT 59901-6138

Phone

(530) 277-3607

Fax

(406) 309-6141

NPI assigned

Feb 5, 2024

Last updated

Jun 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Ivey, DDSNPI 1679932107

Title

Owner

Phone

(530) 277-3607

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Peter Ivey, DDS

  • Dentist
  • Columbia Falls, MT
  • NPI 1679932107

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1689437436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 4TH AVE E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014914",
            "telephone_number": "530-277-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CORPORATE DR STE 204",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016138",
            "telephone_number": "530-277-3607",
            "fax_number": "406-309-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER IVEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-277-3607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193400000X",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Diane Perrigo, PCLC
• Perry K. Birky MD, PC
• Danielle Perry
• Heidi Anne Perry, LCPC
• Karen N Perser, MD
• Alexandra Vleisides Peterman
• Dawn Peters, N.P.
• Haley C Peters, FNP-BC
• Shianna Peters, MS, RN
• Sonia Lynn Petersen, OT

• General Practice Dentistry in Kalispell, MT
• Providers in Kalispell, 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 Jun 20, 2025; 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.