Active NPI
Claire L Kenamore, MD
- Pediatrics Physician
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8234
- Practice address
- 1819 S 22ND Ave Ste 100
Bozeman, MT 59718-7070 - Phone
- (406) 898-1200
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8234 | MT | Primary |
Addresses
Primary practice location
1819 S 22ND Ave Ste 100
Bozeman, MT 59718-7070
Mailing address
PO Box 35100
Billings, MT 59107-5100
Phone (406) 238-2500
Other practice location 1
Lakeside Pediatric & Adolescent Medicine
980 W Ironwood Drive Suite 302
Coeur dAlene, ID 83814
Phone (208) 292-5437
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112662800 | Other | WY | MDCD PIN |
| 000014421 | Other | MT | BCBS PIN |
| 0109327 | Other | MT | MDCD PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ckenamore@billingsclinic.cernerdirect.com | Direct |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8234 | MT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Lakeside Pediatric & Adolescent Medicine, PLLC | Past | Accepting new patients |
Locations
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
2675 Central Ave
Billings, MT 59102
Phone (406) 238-2900
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202
Interoperability endpoints
- ckenamore@billingsclinic.cernerdirect.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Livingston Healthcare Shields Valley Clinic | Rural health clinic | Corporate Director | Jul 1, 2021 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 5
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.
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- Skilled Nursing Facility
- Billings, MT
- NPI 1033275557
-
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Pediatric Adolescent Medicine Physician
- Coeur D'Alene, ID
- NPI 1003975087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1922110352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35100",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591075100",
"telephone_number": "406-238-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 S 22ND AVE STE 100",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597187070",
"telephone_number": "406-898-1200"
}
],
"practiceLocations": [
{
"address_1": "Lakeside Pediatric & Adolescent Medicine",
"address_2": "980 W Ironwood Drive Suite 302",
"address_purpose": "LOCATION",
"city": "Coeur dAlene",
"state": "ID",
"postal_code": "83814",
"country_code": "US",
"telephone_number": "208-292-5437",
"fax_number": "208-292-5441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENAMORE",
"first_name": "CLAIRE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MT",
"license": "8234",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD PIN",
"identifier": "112662800",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PIN",
"identifier": "000014421",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCD PIN",
"identifier": "0109327",
"state": "MT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ckenamore@billingsclinic.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "direct email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1819 S 22nd Ave Ste 100",
"city": "Bozeman",
"state": "MT",
"country_code": "US",
"postal_code": "597187070",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.