Organization Active NPI

Bird Family Dentistry

  • General Practice Dentistry
  • Polson, MT
National Provider Identifier
1053787655
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2462 Issued in MT
Legal business name
BIRD FAMILY DENTISTRY
Practice address
203B Ridgewater Dr Ste 1
Polson, MT 59860-9194
Phone
(406) 883-6269
Fax
(406) 883-6269
NPI assigned
Aug 18, 2015
Last updated
Mar 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Jeffrey Bird, DMDNPI 1982991329
Title
Owner
Phone
(406) 883-6269

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2462 MT Primary

Addresses

Primary practice location

203B Ridgewater Dr Ste 1
Polson, MT 59860-9194

Mailing address

203B Ridgewater Dr Ste 1
Polson, MT 59860-9194
Phone (406) 883-6269

National Provider Directory

National Provider Directory

Locations

203B Ridgewater Dr
Ste 1
Polson, MT 59860
Phone (406) 883-6269

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1053787655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203B RIDGEWATER DR STE 1",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598609194",
            "telephone_number": "406-883-6269",
            "fax_number": "406-883-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203B RIDGEWATER DR STE 1",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598609194",
            "telephone_number": "406-883-6269",
            "fax_number": "406-883-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-883-6269",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polson, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.