Organization Active NPI

Black Bear Naturopathic Clinic, PC

  • Non-Pharmacy Dispensing Site
  • Missoula, MT
National Provider Identifier
1033466966
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
BLACK BEAR NATUROPATHIC CLINIC, PC
Practice address
2204 Dixon Ave
Missoula, MT 59801-8224
Phone
(406) 542-2147
NPI assigned
Aug 9, 2012
Organization subpart
Yes
Parent organization
BLACK BEAR NATUROPATHIC CLINIC, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Dr. Christine C. White, ND
Title
Owner
Phone
(406) 542-2147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

2204 Dixon Ave
Missoula, MT 59801-8224

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Part of
Black Bear Naturopathic Clinic PC

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": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1033466966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 DIXON AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018224",
            "telephone_number": "406-542-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK BEAR NATUROPATHIC CLINIC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLACK BEAR NATUROPATHIC CLINIC, PC",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-542-2147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.