Active NPI
Mitchell Alec Seltman
- General Practice Dentistry
- Kalispell, MT
National Provider Identifier
1093299141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15436
- Practice address
- 50 Village Loop Rd
Kalispell, MT 59901-2793 - Phone
- (407) 755-4166
- NPI assigned
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15436 | MT | Primary |
Addresses
Primary practice location
50 Village Loop Rd
Kalispell, MT 59901-2793
Mailing address
50 Village Loop Rd
Kalispell, MT 59901-2793
Phone (407) 755-4166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15436 | MT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1093299141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 VILLAGE LOOP RD",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012793",
"telephone_number": "407-755-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 VILLAGE LOOP RD",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012793",
"telephone_number": "407-755-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELTMAN",
"first_name": "MITCHELL",
"middle_name": "ALEC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "15436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.