Active NPI
Bridge Creek Dental PLLC
- General Practice Dentistry
- Billings, MT
National Provider Identifier
1982907242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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.S
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160421001239 | MT | DME Supplier - Oral Surgery - Dentist | 2466750641 | Practice locations: Billings, MT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Billings, MT
- NPI 1184787905
-
- Dentist
- Billings, MT
- NPI 1710679584
-
- Dentist
- Billings, MT
- NPI 1871521997
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.