Organization Active NPI

Canyon View Dental PC

  • Dentist
  • Hamilton, MT
National Provider Identifier
1063425254
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CANYON VIEW DENTAL PC
Practice address
710 N 1St
Ste a
Hamilton, MT 59840
Phone
(406) 375-1192
Fax
(406) 375-1193
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stacey Laura Simmons
Title
Dentist Owner
Phone
(406) 375-1192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

710 N 1St
Ste a
Hamilton, MT 59840

Mailing address

710 N 1St
Ste a
Hamilton, MT 59840
Phone (406) 375-1192

National Provider Directory

National Provider Directory
Tax ID family
Canyon View Dental PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

710 N 1st St
Ste A
Hamilton, MT 59840
Phone (406) 375-1192

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063425254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 1ST",
            "address_2": "STE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "406-375-1192",
            "fax_number": "406-375-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N 1ST",
            "address_2": "STE A",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "406-375-1192",
            "fax_number": "406-375-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON VIEW DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "406-375-1192",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.