Active NPI
Black Bear Naturopathic Clinic, PC
- Non-Pharmacy Dispensing Site
- Missoula, MT
National Provider Identifier
1033466966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- 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, PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Naturopath
- Missoula, MT
- NPI 1356468649
-
- Naturopath
- Missoula, MT
- NPI 1538478078
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.