Keaton Sacry, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN-DEN-LIC-26005 Issued in MT

Practice address

108 1St St W
Whitehall, MT 59759-7730

Phone

(406) 287-3026

NPI assigned

May 24, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Butte Silver Bow Primary Health Care Clinic Inc

  dba Blacktail Health

  • Federally Qualified Health Center (FQHC)
  • Butte, MT
  • NPI 1285725143
  Medicare reassignment NPD
• Butte Silver Bow Primary Health Care Clinic Inc

  dba Blacktail Health Pharmacy

  • Community/Retail Pharmacy
  • Dillon, MT
  • NPI 1144883984
  NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1083306328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9281 SILVER ARROW CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891176413",
            "telephone_number": "406-498-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 1ST ST W",
            "city": "WHITEHALL",
            "state": "MT",
            "postal_code": "597597730",
            "telephone_number": "406-287-3026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Centennial Ave",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597012870",
            "country_code": "US",
            "telephone_number": "406-496-6007",
            "fax_number": "406-496-6035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACRY",
        "first_name": "KEATON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "DEN-DEN-LIC-26005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace of Mind Telehealth and Urgent Care LLC
• Terry Don Reiff, D.O.
• Ruth Story LCPC LLC
• Dennis K Sacry, DDS
• Gayle Faye Sacry, M.D.
• Steven Forest Sacry, PA-C
• Town of Whitehall (Whitehall Ambulance Service)
• Traveling Mama Enterprises, LLC (Home Grown Nutrition)
• Lisa Turk
• Whitehall Chiropractic PC

• General Practice Dentistry in Whitehall, MT
• Providers in Whitehall, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.