Sunset Dental Care PC

Primary specialty

DentistTaxonomy code 122300000X

License

1880 Issued in MT

Legal business name

SUNSET DENTAL CARE PC

Practice address

417 2ND Ave SW
Conrad, MT 59425

Phone

(406) 278-3609

Fax

(406) 278-5458

NPI assigned

Aug 30, 2006

Last updated

Oct 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Schuyler Anne Vandyke, DMD

Title

Dentist DMD

Phone

(406) 278-3609

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1962511154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 2ND AVE SW",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "59425",
            "telephone_number": "406-278-3609",
            "fax_number": "406-278-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 2ND AVE SW",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "59425",
            "telephone_number": "406-278-3609",
            "fax_number": "406-278-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "VANDYKE",
        "authorized_official_first_name": "SCHUYLER",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "DENTIST DMD",
        "authorized_official_telephone_number": "406-278-3609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "1880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLX",
            "identifier": "18804",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112438",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "5512182",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Anne Riley, MSC LCPC
• Lisa Salois, LCSW
• Eric Sievers, NP
• Sunrise Counseling
• Sunset Dental Care PC
• Jay Daniel Taylor, MD
• John E Taylor, O.D.
• TMJ & Sleep Therapy Centre of Montana, Inc
• Kirsten K Townsend, LCPC, ACLC
• Utterback RX Inc (Village Drug)

• Dentist in Conrad, MT
• Providers in Conrad, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.