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KEVIN JON FAIRHURST DMD
NPI 1093976904
Dentist in Great Falls, MT

Active since June 23, 2008PECOS Enrolled
900 10TH AVE NW, GREAT FALLS, MT 59404(406) 761-1365(406) 403-0418 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Jon Fairhurst Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN JON FAIRHURST DMD (NPI 1093976904) is an individual dentist in Great Falls, Montana, licensed in Idaho (D-4144) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093976904
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEVIN JON FAIRHURSTCredential: DMD
Location Address900 10TH AVE NWGreat Falls, MT 59404-1747
Mailing Address900 10th Ave NwGreat Falls, MT 59404-1747 · (406) 761-1365 · Fax (406) 403-0418
Phone(406) 761-1365
Fax(406) 403-0418
Sole ProprietorNo
Enumeration DateJune 23, 2008
Last NPPES UpdateJuly 13, 2010
✔ NPI 1093976904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in ID · D-4144
Definition
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.
900 10TH AVE NW, Great Falls, MT 59404
Open in Google Maps ↗

Other Identifiers 1

Other2397MT · Montana Licence Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Jon Fairhurst Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JERALD A YONEJI DDS
Dentist
900 10TH AVE NW
GREAT FALLS, MT 59404
Cascade County (406) 761-1365
DR. GERALD W TUCK DDS
Dentist
900 10TH AVE NW
GREAT FALLS, MT 59404
Cascade County (406) 761-1365
DR. MATTHEW JAMES KLINKER DMD
Dentist
900 10TH AVE NW
GREAT FALLS, MT 59404
Cascade County (406) 761-1365

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Fairhurst's NPI number?

The NPI number for Kevin Fairhurst is 1093976904. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Kevin Fairhurst located?

Kevin Fairhurst practices at 900 10th Ave NW, Great Falls, MT 59404. The listed phone number is (406) 761-1365.

What is Kevin Fairhurst's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kevin Fairhurst enrolled in Medicare?

Yes. Kevin Fairhurst is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Fairhurst accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental list Kevin Fairhurst as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Fairhurst was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.