Organization Active NPI

Next02 LLC

  • Pediatrics Physician
  • Missoula, MT
National Provider Identifier
1104630557
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NEXT02 LLC
Practice address
2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479
Phone
(406) 404-8588
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Daniel Colson
Title
Owner
Phone
(406) 404-8588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479

Mailing address

2831 Fort Missoula Rd Ste 232
Missoula, MT 59804-7479
Phone (406) 404-8588

Other names 1

  • Blue Moose Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

2831 Fort Missoula Rd
Ste 232
Missoula, MT 59804
Phone (406) 523-5650

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": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1104630557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 232",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-404-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD STE 232",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047479",
            "telephone_number": "406-404-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT02 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "COLSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-404-8588"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Moose Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Blue Moose Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 20, 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.

Verify at the official NPI Registry.