Badlands Medical Inc

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

BADLANDS MEDICAL INC

Practice address

332 Leavitt Ave
Jordan, MT 59337

Phone

(406) 557-2819

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Paula Muniak

Title

Vice President

Phone

(406) 557-2819

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Anthony Muniak, P.A.

  • Physician Assistant
  • Jordan, MT
  • NPI 1689623761
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114098837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "JORDAN",
            "state": "MT",
            "postal_code": "593370443",
            "telephone_number": "406-557-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 LEAVITT AVE",
            "city": "JORDAN",
            "state": "MT",
            "postal_code": "59337",
            "telephone_number": "406-557-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BADLANDS MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUNIAK",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "406-557-2819"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arrowhead Dental PC
• County of Garfield
• County of Garfield (Garfield County Health Center)
• County of Garfield
• County of Garfield (Garfield County Clinic)
• County of Garfield (Garfield County Health Center)

• Physician Assistant in Jordan, MT
• Providers in Jordan, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.