Jerilyn V Negvesky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40474 Issued in CA

Practice address

432 E. Idaho Street
Suite C510
Kalispell, MT 59901

Phone

(406) 885-1804

Fax

(415) 399-0396

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1013062389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 E. IDAHO STREET",
            "address_2": "SUITE C510",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-885-1804",
            "fax_number": "415-399-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 E. IDAHO STREET",
            "address_2": "SUITE C510",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59901",
            "telephone_number": "406-885-1804",
            "fax_number": "415-399-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGVESKY",
        "first_name": "JERILYN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Christopher Nadasi, PH.D., ED.S.
• Michelle Nail-Noftsinger, F.N.P.
• Shelley Naomi, PAC
• Cayden Napierala, DPT, PT
• Jordan Elizabeth Nash, PA-C
• Bradley Arthur Nelson, LCSW
• Douglas Nelson, M.D.
• Elizabeth Nelson
• Gina S Nelson, M.D.
• Jessica Nelson, PMHNP, MSN, RN

• General Practice Dentistry in Kalispell, MT
• Providers in Kalispell, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.