Active NPI
Michelle Lee Crabtree, D.M.D
- General Practice Dentistry
- Ennis, MT
National Provider Identifier
1013444728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN-DEN-LIC-23527
- Practice address
- 1 Steambath Ste a
Ennis, MT 59729-8505 - Phone
- (406) 404-1186
- NPI assigned
- May 12, 2017
- Last updated
- Sep 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D10661 | OR | |
| General Practice Dentistry | 1223G0001X | DEN-DEN-LIC-23527 | MT | Primary |
Addresses
Primary practice location
1 Steambath Ste a
Ennis, MT 59729-8505
Mailing address
PO Box 40
Ennis, MT 59729-0040
Phone (406) 590-5830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-DEN-LIC-23527 | MT | MD | General Practice Dentistry |
| D10661 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Dental PC | General Practice | Current | Accepting new patients |
| Burns Dental Group LLC | General Practice | Past | Accepting new patients |
Locations
1 Steambath
Ste A
Ennis, MT 59729
Phone (406) 404-1186
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Ennis, MT
- NPI 1780383265
-
- General Practice Dentistry
- Burns, OR
- NPI 1053489013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1013444728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "ENNIS",
"state": "MT",
"postal_code": "597290040",
"telephone_number": "406-590-5830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 STEAMBATH STE A",
"city": "ENNIS",
"state": "MT",
"postal_code": "597298505",
"telephone_number": "406-404-1186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRABTREE",
"first_name": "MICHELLE",
"middle_name": "LEE",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2022-09-07",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D10661",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "DEN-DEN-LIC-23527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ennis, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.