Active NPI
Logan McGreevey
- Dentist
- Missoula, MT
National Provider Identifier
1093600926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN-DEN-LIC-30857
- Practice address
- 690 SW Higgins Ave Ste H
Missoula, MT 59803-1433 - Phone
- (406) 543-3159
- NPI assigned
- Jun 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
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-30857 | MT | Primary |
Addresses
Primary practice location
690 SW Higgins Ave Ste H
Missoula, MT 59803-1433
Mailing address
1320 Kelly Island CT
Missoula, MT 59808-1205
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-30857 | MT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1093600926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 KELLY ISLAND CT",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 SW HIGGINS AVE STE H",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598031433",
"telephone_number": "406-543-3159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREEVEY",
"first_name": "LOGAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "DEN-DEN-LIC-30857",
"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 Jun 11, 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.