NPIMap

Organization Active NPI

Heart Mountain Dental L.L.C.

  • Dental Clinic/Center
  • Cody, WY
National Provider Identifier
1043694565
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1419 Issued in WY
Legal business name
HEART MOUNTAIN DENTAL L.L.C.
Practice address
1426 Stampede Ave
Cody, WY 82414-4226
Phone
(307) 587-6028
NPI assigned
Jul 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Authorized official

Name
Joshua George, D.D.S.NPI 1306220165
Title
Manager
Phone
(307) 587-6028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1419 WY Primary

Addresses

Primary practice location

1426 Stampede Ave
Cody, WY 82414-4226

Mailing address

1426 Stampede Ave
Cody, WY 82414-4226

National Provider Directory

National Provider Directory

Locations

1426 Stampede Ave
Cody, WY 82414
Phone (307) 587-6028

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": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1043694565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 STAMPEDE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 STAMPEDE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144226",
            "telephone_number": "307-587-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART MOUNTAIN DENTAL L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "307-587-6028",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WY",
            "license": "1419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; 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.