Organization Active NPI

Bridge Creek Dental PLLC

  • General Practice Dentistry
  • Billings, MT
National Provider Identifier
1982907242
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIDGE CREEK DENTAL PLLC
Practice address
525 Henry Chapple St Ste 5
Billings, MT 59106-1865
Phone
(406) 652-1600
Fax
(406) 652-1205
NPI assigned
Dec 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dr. Kyle B. Wassmer, D.D.SNPI 1184787905
Title
Owner
Phone
(406) 652-1600

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

525 Henry Chapple St Ste 5
Billings, MT 59106-1865

Mailing address

525 Henry Chapple St Ste 5
Billings, MT 59106-1865
Phone (406) 652-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160421001239 MT DME Supplier - Oral Surgery - Dentist 2466750641 Practice locations: Billings, MT

National Provider Directory

National Provider Directory

Locations

525 Henry Chapple St
Ste 5
Billings, MT 59106
Phone (406) 652-1600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1982907242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 HENRY CHAPPLE ST STE 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591061865",
            "telephone_number": "406-652-1600",
            "fax_number": "406-652-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 HENRY CHAPPLE ST STE 5",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591061865",
            "telephone_number": "406-652-1600",
            "fax_number": "406-652-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE CREEK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "WASSMER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-652-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.