Individual provider Active NPI

Michelle Lee Crabtree, D.M.D

  • General Practice Dentistry
  • Ennis, MT
National Provider Identifier
1013444728
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN-DEN-LIC-23527 Issued in MT
Practice address
1 Steambath Ste a
Ennis, MT 59729-8505
Phone
(406) 404-1186
NPI assigned
May 12, 2017
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DEN-DEN-LIC-23527MTMDGeneral Practice Dentistry
D10661ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Dental PC General Practice CurrentSince Feb 26, 2023 Accepting new patients
Burns Dental Group LLC General Practice PastSince Mar 1, 2020 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.

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.

Verify at the official NPI Registry.