Individual provider Active NPI

Bryan Drew Haight, D.D.S.

  • General Practice Dentistry
  • Shelby, MT
National Provider Identifier
1114968831
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2341 Issued in MT
Practice address
865 Oilfield Ave
Suite 3
Shelby, MT 59474-2702
Phone
(406) 434-7086
NPI assigned
Jun 10, 2006
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2341 MT Primary

Addresses

Primary practice location

865 Oilfield Ave
Suite 3
Shelby, MT 59474-2702

Mailing address

865 Oilfield Ave
Suite 3
Shelby, MT 59474-2702
Phone (406) 434-7086

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bryan.haightdds.p1@direct.mhsi.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160209001905 MT Order and Referring Only - Other (Non-Physician) 3971807181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2341MTMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: bryan.haightdds.d1.p1@direct.mhsi.nextgenshare.com
  • Direct secure messaging: bryan.haightdds.p1@direct.mhsi.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1114968831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 OILFIELD AVE",
            "address_2": "SUITE 3",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594742702",
            "telephone_number": "406-434-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 OILFIELD AVE",
            "address_2": "SUITE 3",
            "city": "SHELBY",
            "state": "MT",
            "postal_code": "594742702",
            "telephone_number": "406-434-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIGHT",
        "first_name": "BRYAN",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bryan.haightdds.p1@direct.mhsi.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NG Share / NG Patient Portal",
            "address_1": "865 Oilfield Ave",
            "address_2": "Suite 3",
            "city": "Shelby",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594742702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby, MT

Sources for this page

Verify at the official NPI Registry.