Individual provider Active NPI

David Miller Dodrill, DDS

  • Dentist
  • Whitefish, MT
National Provider Identifier
1124224498
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D​2274 Issued in MT
Practice address
6516 US Highway 93 S
Whitefish, MT 59937-2916
Phone
(406) 862-1010
Fax
(406) 863-9090
NPI assigned
Jun 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D​2274 MT Primary

Addresses

Primary practice location

6516 US Highway 93 S
Whitefish, MT 59937-2916

Mailing address

646 Copperwood CT
Whitefish, MT 59937-3400
Phone (406) 862-1010

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

LicenseStateTypeSpecialty
D​2274MTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Center for Laser Dentistry PLLC Dentist Past Accepting new patients
Kalli D Elford, DMD, PC PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1124224498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 COPPERWOOD CT",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599373400",
            "telephone_number": "406-862-1010",
            "fax_number": "406-863-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 US HIGHWAY 93 S",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372916",
            "telephone_number": "406-862-1010",
            "fax_number": "406-863-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODRILL",
        "first_name": "DAVID",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "D​2274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.