Active NPI
Destyni Travers, DMD
- Dentist
- Missoula, MT
National Provider Identifier
1093514291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN-DEN-LIC-30864
- Practice address
- 401 Railroad St W
Missoula, MT 59802-4178 - Phone
- (406) 258-4789
- NPI assigned
- Mar 10, 2025
- Last updated
- Sep 18, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DEN-DEN-LIC-30864 | MT | Primary |
Addresses
Primary practice location
401 Railroad St W
Missoula, MT 59802-4178
Mailing address
1245 Waverly St Apt 305
Missoula, MT 59802-2458
Other practice location 1
116 Glacier Dr Ste 107
Lolo, MT 59847-9343
Phone (406) 284-8669
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 |
|---|---|---|---|
| DEN-DEN-LIC-30864 | MT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Care of Montana, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Missoula, MT
- NPI 1124754544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758153600000",
"number": "1093514291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WAVERLY ST APT 305",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598022458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 RAILROAD ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024178",
"telephone_number": "406-258-4789"
}
],
"practiceLocations": [
{
"address_1": "116 Glacier Dr Ste 107",
"address_purpose": "LOCATION",
"city": "Lolo",
"state": "MT",
"postal_code": "598479343",
"country_code": "US",
"telephone_number": "406-284-8669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVERS",
"first_name": "DESTYNI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-10",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "DEN-DEN-LIC-30864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.