Organization Active NPI

Havre Denture LLC

  • Denturist
  • Havre, MT
National Provider Identifier
1083475701
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
Legal business name
HAVRE DENTURE LLC
Practice address
220 3Rd Ave Ste 204
Havre, MT 59501-3554
Phone
(406) 262-7722
Fax
(406) 262-7723
NPI assigned
Jan 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Fabione Olmstead, ATC, LAT
Title
Office Administrator
Phone
(406) 262-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X Primary

Addresses

Primary practice location

220 3Rd Ave Ste 204
Havre, MT 59501-3554

Mailing address

220 3Rd Ave Ste 204
Havre, MT 59501-3554
Phone (406) 262-7722

Other names 1

  • Hi-Line Denture Doing business as

National Provider Directory

National Provider Directory

Locations

220 3rd Ave
Ste 204
Havre, MT 59501
Phone (406) 262-7722

Practitioners & affiliated clinicians

Practitioners 1

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": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1083475701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 3RD AVE STE 204",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013554",
            "telephone_number": "406-262-7722",
            "fax_number": "406-262-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 3RD AVE STE 204",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "595013554",
            "telephone_number": "406-262-7722",
            "fax_number": "406-262-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVRE DENTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "OLMSTEAD",
        "authorized_official_first_name": "FABIONE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "406-262-7722",
        "authorized_official_credential": "ATC, LAT"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hi-Line Denture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havre, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.