Justin Aaron Hicks, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2293 Issued in MT

Practice address

736 N Last Chance Gulch
Helena, MT 59601-3319

Phone

(406) 868-4549

NPI assigned

Jun 3, 2008

Last updated

Sep 27, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Ad Astra, LLC

  dba Prairie Mountain Dental

  • Dentist
  • Helena, MT
  • NPI 1386315570
  NPD Authorized official

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1134388366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E 6TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014765",
            "telephone_number": "406-868-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 N LAST CHANCE GULCH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013319",
            "telephone_number": "406-868-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JUSTIN",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Laine Herzog
• Daniel E Hesskamp, MD
• Heuiser Physical Therapy PC
• Brian J Heuiser, PT
• James Richard Hicks, DDS
• Michelle Marie Hiebert, MD
• Bryan G Hilborn, D.C.
• Marilyn G Hildreth
• Jayme Hill, LCSW
• Bailie Hillen

• General Practice Dentistry in Helena, MT
• Providers in Helena, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.