Organization Active NPI

Montana Family Dentistry

  • Dentist
  • Lewistown, MT
National Provider Identifier
1023474285
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9703 Issued in MT
Legal business name
MONTANA FAMILY DENTISTRY
Practice address
524 1St Ave S
Lewistown, MT 59457-3022
Phone
(406) 538-2347
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Authorized official

Name
Dr. David Holecek, DDS
Title
Dentist
Phone
(406) 538-2347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9703 MT Primary

Addresses

Primary practice location

524 1St Ave S
Lewistown, MT 59457-3022

Mailing address

524 1St Ave S
Lewistown, MT 59457-3022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451865600000",
    "number": "1023474285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 1ST AVE S",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594573022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 1ST AVE S",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594573022",
            "telephone_number": "406-538-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A",
        "authorized_official_last_name": "HOLECEK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "406-538-2347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MT",
            "license": "9703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewistown, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.