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Kalispel Tribe of Indians

Dentist in Cusick, WA · enumerated 2012 · authorized official Tracy Birdtail, Am.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083980080

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Registry record

Entity type Organization (Type 2)
Legal business name Kalispel Tribe of Indians
Other name <Unavail>
Practice address 1821 Leclerc Rd N Ste 1, Cusick, WA, 99119
Phone (509) 447-7111
Fax (509) 445-1152
Enumeration date Mar 24, 2012
Last updated in NPPES Sep 13, 2023

Taxonomy & classification

122300000X Dentist Dental Providers · License DE00009801 (WA) Primary

Authorized official

Name Tracy Birdtail
Title Am
Phone (509) 447-7112

Other identifiers

Identifier Type State Issuer
5051537 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Kalispel Tribe of Indians located?
The practice location on file with NPPES is in Cusick, WA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-09-13. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-13.