OrganizationActive
Kalispel Tribe of Indians
NPI 1083980080 · Dentist · Cusick, WA
Kalispel Tribe of Indians is a Dentist organization in Cusick, WA (NPI 1083980080).
Provider details
- NPI number
- 1083980080
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Tracy Birdtail, Am(509) 447-7112
- License
- DE00009801 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1821 Leclerc Rd N Ste 1
Cusick, WA 99119-5015
Phone: (509) 447-7111
Fax: (509) 445-1152
Street-level locationGet directions
Mailing address
Po Box 67
Usk, WA 99180-0067
Other names (DBA / former)
- Doing business as
- Camas Center Dental Clinic
- Doing business as
- Camas Center Dental Clinic
Registry dates
- Enumerated
- 2012-03-24
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Frequently asked questions
- What is Kalispel Tribe of Indians's NPI number?
- Kalispel Tribe of Indians's National Provider Identifier (NPI) is 1083980080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kalispel Tribe of Indians?
- Kalispel Tribe of Indians is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Kalispel Tribe of Indians located?
- Kalispel Tribe of Indians's practice location on file with NPPES is 1821 Leclerc Rd N Ste 1, Cusick, WA 99119-5015.
- What is Kalispel Tribe of Indians's phone number?
- The practice phone number listed in the NPPES registry for Kalispel Tribe of Indians is (509) 447-7111.
- Who is the authorized official for Kalispel Tribe of Indians?
- The authorized official listed on Kalispel Tribe of Indians's NPPES record is Tracy Birdtail, Am. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kalispel Tribe of Indians's NPI active?
- Yes — Kalispel Tribe of Indians's NPI (1083980080) is active in the NPPES registry as of the last update on 2023-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.