James R Kolstad, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2216 Issued in MT

Practice address

418 West Broadway
Lewistown, MT 59457

Phone

(406) 538-5388

Fax

(406) 538-5388

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MT

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

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740325612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 WEST BROADWAY",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "59457",
            "telephone_number": "406-538-5388",
            "fax_number": "406-538-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 WEST BROADWAY",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "59457",
            "telephone_number": "406-538-5388",
            "fax_number": "406-538-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLSTAD",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "22164",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "5513105",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115050",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Kaufman, DNP
• Jesse Vidic Kinsey, RN
• Julie A Kirsch
• Kismet LWT, LLC
• Amanda J. Klaus, M.S., CCC-SLP
• Kraig (NMN) Kruger
• William Henry Kuhlmann, D.D.S., M.S.D.
• Andrew Stephen Lalum
• Melody Hope Lark, MS, CRC, LCPC
• Anne Marie Larsen, CNM

• General Practice Dentistry in Lewistown, MT
• Providers in Lewistown, 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 Jul 8, 2007; 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.