Kismet BZN2, LLC.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

13069 Issued in MT

Legal business name

KISMET BZN2, LLC.

Practice address

321 N 5TH Ave
Bozeman, MT 59715

Phone

(406) 587-4404

Fax

(406) 587-2302

NPI assigned

May 5, 2006

Organization subpart

No

Name

Michael L. Moore

Title

Chief Financial Officer

Phone

(605) 642-7736

• Bridger Rehab and Care Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2019.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1992753370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N 5TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153415",
            "telephone_number": "406-587-4404",
            "fax_number": "406-587-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N 5TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "59715",
            "telephone_number": "406-587-4404",
            "fax_number": "406-587-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISMET BZN2, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "605-642-7736"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "13069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0310466",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridger Rehab and Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridger Rehab and Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Q Kirkpatrick, OD
• Margaret Kirlin, PSY.D.
• Jo Ann Kish, RPH
• Kismet BZN, LLC
• Kismet BZN, LLC
• Joshua William Bendz Klatt, M.D.
• Lindsey Klebenow, CNA
• Theodora B Kleindl
• Kline Dental Care
• Sara Jane Hromadka Klinger, D.O.

• All providers in Bozeman, MT
• Skilled Nursing Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.