Active NPI
Jeffery Michael Hamling, DDS, MS
- Dentist
- Bozeman, MT
National Provider Identifier
1033432737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2014
- Practice address
- 4055 Valley Commons Dr
Ste. E
Bozeman, MT 59718-6432 - Phone
- (406) 582-1515
- Fax
- (406) 582-1919
- NPI assigned
- Mar 9, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2014 | MT | Primary |
Addresses
Primary practice location
4055 Valley Commons Dr
Ste. E
Bozeman, MT 59718-6432
Mailing address
4055 Valley Commons Dr
Ste. E
Bozeman, MT 59718-6432
Phone (406) 582-1515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649322777 | Other | MT | CHIP DENTAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251215000929 | MT | Order and Referring Only - Dentist | 5991299109 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Sky Endodontics | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1033432737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 VALLEY COMMONS DR",
"address_2": "STE. E",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186432",
"telephone_number": "406-582-1515",
"fax_number": "406-582-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 VALLEY COMMONS DR",
"address_2": "STE. E",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186432",
"telephone_number": "406-582-1515",
"fax_number": "406-582-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMLING",
"first_name": "JEFFERY",
"middle_name": "MICHAEL",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "2014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP DENTAL",
"identifier": "1649322777",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.