John S Paige Jr., DDS
Individual provider Active NPI Dentist · Wolf Point, MT
NPI 1003897950 · NPPES record last updated Jul 2, 2019
Key facts
- NPI
- 1003897950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019014128 (IL)
- Practice address
- 550 6TH Ave N
Wolf Point, MT 59201-6000 - Phone
- (406) 653-1641
- Fax
- (406) 653-3728
- NPI assigned
- Nov 8, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Dentist
- Education
- Univ of Illinois at Chicago College of Dentistry, 1971
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
669 Agency Main St
Harlem, MT 59526-9455
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250925001551 | TX | Practitioner - Dentist | 0345542205 | Reassigns benefits to 1 organization |
| I20260317003297 | MT | Practitioner - Dentist | 0345542205 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Health Dept of Health & Human Services | Current |
Accepting new patients | |
| U S Health Dept of Health & Human Services | Current |
Accepting new patients | |
| U S Health Dept of Health & Human Services | Current |
Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients |
Locations
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019014128 | IL | Yes |
Addresses
Primary practice location
550 6TH Ave N
Wolf Point, MT 59201-6000
Mailing address
550 6TH Ave N
Wolf Point, MT 59201-6000
Phone (406) 653-1641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019014128 | Medicaid | IL |
Other providers in Wolf Point, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.