NPIMap

Organization Active NPI

Vala Dental, LLC

Doing business as 406Dentistry

  • Dental Clinic/Center
  • Kalispell, MT
National Provider Identifier
1912595364
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
VALA DENTAL, LLC
Doing business as
406Dentistry
Practice address
1315 US Highway 2 W
Kalispell, MT 59901-3413
Phone
(406) 890-6364
Fax
(406) 890-6198
NPI assigned
Dec 31, 2020
Last updated
Dec 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Dr. Katerina Robinson, DDSNPI 1497820369
Title
Manager
Phone
(406) 890-6364

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1315 US Highway 2 W
Kalispell, MT 59901-3413

Mailing address

1315 US Highway 2 W
Kalispell, MT 59901-3413
Phone (406) 890-6364

Other identifiers 1

IdentifierTypeStateIssuer
0397154MedicaidMT

Other names 1

  • 406Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1315 US Highway 2 W
Kalispell, MT 59901
Phone (406) 607-7759

Practitioners & affiliated clinicians

Practitioners 3

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": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1912595364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 US HIGHWAY 2 W",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013413",
            "telephone_number": "406-890-6364",
            "fax_number": "406-890-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 US HIGHWAY 2 W",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013413",
            "telephone_number": "406-890-6364",
            "fax_number": "406-890-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "KATERINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-890-6364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0397154",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "406Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.