DR. KIRK D SONG (NPI# 1356458962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356458962 |
| Entity Type | Individual |
| Full Name | DR. KIRK D SONG |
| Credential | DDS |
| Practice Address |
2675 Central Ave Ste U19 Billings MT 59102 |
| Practice Telephone | 4066552162 |
| Practice Fax Number | 4066552198 |
| Mailing Telephone | 4066552162 |
| Mailing Fax Number | 4066552198 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | MT1830 | MT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 120640 | 05 |
| Street Address |
2675 CENTRAL AVE STE U19 |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427046713 | Robyn Nicole Clausen | Optometrist | 2675 Central Ave, Suite L-1, Billings, MT 59102-6686 | 2005-10-11 |
| 1083192025 | Tyson Vanderby | Physician Assistant | 2675 Central Ave, Billings, MT 59102-6686 | 2018-08-01 |
| 1952826216 | Zachary Alan Halgren | Nurse Practitioner | 2675 Central Ave, Billings, MT 59102-6686 | 2017-08-08 |
| 1073058731 | Jessica Forsch | Optometrist | 2675 Central Ave, Suite L-1, Billings, MT 59102-6686 | 2017-01-04 |
| 1316325160 | Zachary Taylor Dds Pllc | Dentist | 2675 Central Ave, Suite 10, Billings, MT 59102-6686 | 2015-05-13 |
| 1720405996 | Leslie D Taylor | Physical Therapist | 2675 Central Ave, Billings, MT 59102-6686 | 2014-03-25 |
| 1124450853 | Heather Ann Schroder | Nurse Practitioner | 2675 Central Ave, Billings, MT 59102-6686 | 2013-08-05 |
| 1598105744 | Thaddeus Walker Honaker | Dentist | 2675 Central Ave, Ste 13, Billings, MT 59102-6686 | 2013-07-02 |
| 1669739710 | Joseph James Peila | Internal Medicine | 2675 Central Ave, Billings, MT 59102 | 2012-04-13 |
| 1912288283 | Bridget C Eckley | Physician Assistant | 2675 Central Ave, Billings, MT 59102-6686 | 2011-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
| Find all providers in zip 59102 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514977 | Kenneth J Bagby Dds P C | Dentist | 1540 Lake Elmo Dr Ste 3, Billings, MT 59105-1798 | 2020-09-24 |
| 1811396708 | David Sterzer | Dentist | 10 Avanta Way Ste 3, Billings, MT 59102-6874 | 2014-08-18 |
| 1669712303 | Brian E. Blackwell | Dentist | 1045 N 27th St, Billings, MT 59101-0711 | 2013-02-17 |
| 1932494127 | John C Wilson | Dentist | 2675 Central Ave Ste L8, Billings, MT 59102-6686 | 2011-06-15 |
| 1356592349 | Robert Allan Bronecki | Dentist | 926 Main, Suite #23, Billings, MT 59105 | 2008-10-08 |
| 1336303486 | Lisa Thompson | Dentist | 921 Broadwater Sq Ste 101, Billings, MT 59101-1634 | 2008-07-17 |
| 1518157080 | Amy Jo Fuller | Dentist | 3060 Avenue B, Suite A, Billings, MT 59102 | 2007-07-30 |
| 1194923334 | Steven James Shimamoto | Dentist | 2370 Ave C, Suite 3, Billings, MT 59102 | 2007-07-10 |
| 1528262896 | Ian Christopher Mcdonald | Dentist | 2525 4th Ave N Ste 1, Billings, MT 59101 | 2007-06-12 |
| 1962625319 | Gregory K Moritz | Dentist | 2049 Broadwater Ave Ste 2, Billings, MT 59102-4871 | 2007-04-11 |
| Find all providers in BILLINGS | ||||
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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.