DR. KENNETH C VAN KIRK


Address: 1125 W Kagy Blvd, Suite 200, Bozeman, MT 59715-5881
Phone: 4065871688

DR. KENNETH C VAN KIRK (NPI# 1134135825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134135825
Entity Type Individual
Full Name DR. KENNETH C VAN KIRK
Credential DDS
Practice Address 1125 W Kagy Blvd
Suite 200
Bozeman
MT 59715-5881
Practice Telephone 4065871688
Practice Fax Number 4065825473
Mailing Telephone 4065871688
Mailing Fax Number 4065825473
Enumeration Date 2006-08-01
Last Update Date 2009-03-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
2265 MT Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID TRI-CARE 134932 01

Office Location

Street Address 1125 W KAGY BLVD
SUITE 200
City BOZEMAN
State MT
Zip Code 59715-5881

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043245475 Norman Terrence Nybo Dentist 1125 W Kagy Blvd, Suite 200, Bozeman, MT 59715-5881 2006-07-12
1386882876 Nybo and Van Kirk Dental, LLC Dentist 1125 W Kagy Blvd, Suite 200, Bozeman, MT 59715-5881 2009-01-22
1063661684 Jeff Moore Physical Therapist 1125 W Kagy Blvd, Ste. 101a, Bozeman, MT 59715-5881 2008-09-18
1497901995 Christopher Ryan Wallis Dentist 1125 W Kagy Blvd, Suite 201, Bozeman, MT 59715-5881 2008-08-15
1841323219 Leslie A Hayes Dentist 1125 W Kagy Blvd, Suite 300, Bozeman, MT 59715-5881 2007-03-14
1063433985 Sven Erik Bone Dentist 1125 W Kagy Blvd, Suite 200, Bozeman, MT 59715-5881 2006-07-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477152288 Ch Mh Services (il), LLC Clinic/Center 233 E Main St Suite 401, Bozeman, MT 59715 2020-10-22
1134735269 Montana Therapy and Consulting Pllc Social Worker 110 S Grand Ave, Floor 2, Bozeman, MT 59715 2020-09-23
1831715994 Alyson Raph Student in an Organized Health Care Education/Training Program 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 2020-06-24
1639702780 Miranda Shields Massage Therapist 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 2020-02-18
1154988590 Christina Yancy Massage Therapist Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 2019-05-21
1962068767 Julie A Hisey Physical Therapist 1700 W. Koch, Suite 12, Bozeman, MT 59715 2019-05-16
1639631633 Joshua Wallace Massage Therapist 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 2019-04-01
1528523388 Judith Margaret Firehammer Psychologist 37 East Main St, Suite 7, Bozeman, MT 59715 2019-02-06
1194280875 Erica Kotick Counselor 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 2019-02-06
1194291609 Providence Mental Health Pllc Social Worker 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 2018-10-23
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053877068 Alpenglow Family Dentistry Pllc Dentist 4265 Fallon Street Ste 2, Bozeman, MT 59718-6797 2019-02-14
1487103172 Jesse Mcclung Dds Pllc Dentist 108 N 11th Ave Ste #2, Bozeman, MT 59715 2016-09-23
1295126993 Ws Dental PC Dentist 1805 W Dickerson St, Bld 2, Ste 2, Bozeman, MT 59715-4108 2015-02-17
1164858361 Jason Tanguay, Dds, LLC Dentist 40 E Mendenhall St, Bozeman, MT 59715-3631 2013-09-19
1740549013 J. Steven Smith Dentist 1820 West Lincoln, Bozeman, MT 59715 2012-05-08
1871871574 Richard Hannah Dentist 818 W Babcock St, Bozeman, MT 59715-4453 2011-07-28
1073826731 James Russell Bond Dmd PC Dentist 1958 Stadium Dr, Suite 1, Bozeman, MT 59715 2010-07-22
1265752042 Jason A Tanguay Dentist 105 E Oak St Ste 2a, Bozeman, MT 59715-2978 2010-06-03
1770714081 James R Bond Dentist 1958 Stadium Drive, Suite 1, Bozeman, MT 59715 2009-08-04
1538397054 Danielle Claire Schwieterman Dentist 301 N 15th Ave, Bozeman, MT 59715-3239 2009-06-23
Find all providers in BOZEMAN

Competitor

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City BOZEMAN
Zip Code 59715

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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