MR. KENNETH SCOTT MACPHERSON (NPI# 1215088166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215088166 |
Entity Type | Individual |
Full Name | MR. KENNETH SCOTT MACPHERSON |
Credential | LD LICENSED DENTURIS |
Practice Address |
715 Kensington Ave #25b Missoula MT 59801 |
Practice Telephone | 4065420609 |
Practice Fax Number | 4067217617 |
Mailing Telephone | 4065420609 |
Mailing Fax Number | 4067217617 |
Enumeration Date | 2007-01-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122400000X | Denturist | MT18 | MT | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0150241 | 05 |
Street Address |
715 KENSINGTON AVE #25B |
City | MISSOULA |
State | MT |
Zip Code | 59801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750386074 | Anne Margaret Breum | Dentist | 715 Kensington Ave, Ste 6, Missoula, MT 59801-5700 | 2005-06-14 |
1114582939 | Howard Foote Lamley IIi | Counselor | 715 Kensington Ave, Missoula, MT 59801-5769 | 2019-05-07 |
1861729535 | 3 Rivers Mental Health Solutions LLC | Community/Behavioral Health | 715 Kensington Ave, Suite 24b, Missoula, MT 59801-5769 | 2009-11-17 |
1710177233 | Jill Frazier | Dentist | 715 Kensington Ave, Suite 1, Missoula, MT 59801-5769 | 2007-07-31 |
1144439670 | Vincent Charles Buzzas | Physical Therapist | 715 Kensington Ave, Suite 18, Missoula, MT 59801-5769 | 2007-05-22 |
1144331331 | Edward Quick | Family Medicine | 715 Kensington Ave, Suite 20, Missoula, MT 59801-5769 | 2006-08-31 |
1093821449 | Stephen Raymond Dailey | Dentist | 715 Kensington Ave, Professional Village #1, Missoula, MT 59801 | 2006-08-21 |
1841274461 | Kristen Rae Wood | Physical Therapist | 715 Kensington Ave, Ste. 18, Missoula, MT 59801-5769 | 2005-12-06 |
1366426991 | Freedom Physical Therapy, P.C. | Physical Therapist | 715 Kensington Ave, Ste 18, Missoula, MT 59801-5769 | 2005-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
Find all providers in zip 59801 |
Taxonomy Code | 122400000X |
Grouping | Dental Providers |
Classification | Denturist |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366088098 | Wesley James Carnahan | Denturist | 2825 Stockyard Rd Ste E4, Missoula, MT 59808-1510 | 2019-11-18 |
1285799353 | Remi Armand Berube | Denturist | 2100 Stephens Ave, Suite 104, Missoula, MT 59801-6659 | 2006-12-27 |
1417133026 | Kristen Heather Tinervin | Denturist | 2100 Stephens Ave, Suite 104, Missoula, MT 59801-6659 | 2008-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821518937 | Rick Michael Miller | Denturist | 2181 Hwy 2 E #4, Denture Solutions, Kalispell, MT 59901-2858 | 2017-06-21 |
1376941096 | Bc Restorations Inc | Denturist | 6 Sunset Plz Ste C, Kalispell, MT 59901-3659 | 2014-12-11 |
1487905931 | Carl Justin Brisendine | Denturist | 6 Sunset Plz, Suite C, Kalispell, MT 59901-3608 | 2012-09-24 |
1770866113 | Sandin Craig Barney | Denturist | 302 S. Delaware St., Conrad, MT 59425 | 2011-09-22 |
1154506889 | Douglas Arthur Crumb | Denturist | 6420 Hwy 93 S., Lakeside, MT 59922 | 2007-12-31 |
1134323066 | John V Mateskon | Denturist | 2149 Durston Rd, Unit 32, Bozeman, MT 59718-2805 | 2007-06-13 |
1134333719 | Frank Brisendine | Denturist | Lakeside Denture Studio, 6420 Hwy 93 South, Lakeside, MT 59922-0728 | 2007-05-10 |
1952523961 | Dylan James Sedlacek | Denturist | 1903 Central Ave., Billings, MT 59102 | 2007-05-02 |
1235352121 | Allen L Casteel | Denturist | 215 Smelter Ave Ne Ste 3, Great Falls, MT 59404-1937 | 2007-04-10 |
1245363308 | Alford Mark Rittenhouse | Denturist | 2509 7th Ave S Ste D1, Great Falls, MT 59405-3031 | 2007-03-14 |
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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.