Individual provider Active NPI

Amy Renea Silvan, RDH

  • Dental Hygienist
  • Great Falls, MT
National Provider Identifier
1033564919
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
4139 Issued in MT
Practice address
2523 6TH Ave S
Great Falls, MT 59405-3034
Phone
(406) 761-3131
NPI assigned
Apr 28, 2016
Last updated
Apr 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 4139 MT Primary

Addresses

Primary practice location

2523 6TH Ave S
Great Falls, MT 59405-3034

Mailing address

2523 6TH Ave S
Great Falls, MT 59405-3034
Phone (406) 761-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4139MTMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1033564919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 6TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053034",
            "telephone_number": "406-761-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 6TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053034",
            "telephone_number": "406-761-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVAN",
        "first_name": "AMY",
        "middle_name": "RENEA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MT",
            "license": "4139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.