Organization Active NPI

Mountain Peak Dental

  • General Practice Dentistry
  • Hamilton, MT
National Provider Identifier
1023401312
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7913 Issued in MT
Legal business name
MOUNTAIN PEAK DENTAL
Doing business as
Dr. Jeffrey K. Davidson, DDS
Practice address
421 State St
Hamilton, MT 59840-2760
Phone
(406) 363-4010
Fax
(406) 375-0589
NPI assigned
Mar 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Jeffrey K. Davidson, D.D.S.NPI 1952696841
Title
Owner
Phone
(406) 363-4010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7913 MT Primary

Addresses

Primary practice location

421 State St
Hamilton, MT 59840-2760

Mailing address

421 State St
Hamilton, MT 59840-2760
Phone (406) 363-4010

Other names 1

  • Dr. Jeffrey K. Davidson, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

421 State St
Hamilton, MT 59840
Phone (406) 363-4010

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1023401312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 STATE ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402760",
            "telephone_number": "406-363-4010",
            "fax_number": "406-375-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 STATE ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402760",
            "telephone_number": "406-363-4010",
            "fax_number": "406-375-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PEAK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-363-4010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "7913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jeffrey K. Davidson, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.