Individual provider Active NPI

Claire L Kenamore, MD

  • Pediatrics Physician
  • Bozeman, MT
National Provider Identifier
1922110352
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8234 Issued in MT
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

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
112662800OtherWYMDCD PIN
000014421OtherMTBCBS PIN
0109327OtherMTMDCD PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100108000607 MT Practitioner - Pediatric Medicine 5698816908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8234MTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Oct 1, 2020 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Livingston Healthcare Shields Valley ClinicWilsall, MT, CCN 273427 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.

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

Verify at the official NPI Registry.