Organization Active NPI

Kenneth J Bagby DDS P C

  • Dentist
  • Billings, MT
National Provider Identifier
1912514977
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KENNETH J BAGBY DDS P C
Practice address
1540 Lake Elmo Dr Ste 3
Billings, MT 59105-1798
Phone
(406) 252-1078
Fax
(406) 245-8087
NPI assigned
Sep 24, 2020
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Kenneth J Bagby, DDSNPI 1912025263
Title
Dentist
Phone
(406) 252-1078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1540 Lake Elmo Dr Ste 3
Billings, MT 59105-1798

Mailing address

1540 Lake Elmo Dr Ste 3
Billings, MT 59105-1798
Phone (406) 252-1078

National Provider Directory

National Provider Directory

Locations

1540 Lake Elmo Dr
Ste 3
Billings, MT 59105
Phone (406) 252-1078

Practitioners & affiliated clinicians

Practitioners 2

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1912514977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE ELMO DR STE 3",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051798",
            "telephone_number": "406-252-1078",
            "fax_number": "406-245-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LAKE ELMO DR STE 3",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591051798",
            "telephone_number": "406-252-1078",
            "fax_number": "406-245-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J BAGBY DDS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "BAGBY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "406-252-1078",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "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 Nov 28, 2023; 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.