NPIMap

Organization Active NPI

Beartooth Pediatric Dentistry

  • Pediatric Dentistry
  • Laurel, MT
National Provider Identifier
1144949231
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BEARTOOTH PEDIATRIC DENTISTRY
Doing business as
Beartooth Pediatric Dentistry
Practice address
714 1St Ave Ste 2
Laurel, MT 59044-2100
Phone
(406) 248-3303
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Katie McElroy
Title
Senior HR Manager
Phone
(406) 248-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

714 1St Ave Ste 2
Laurel, MT 59044-2100

Mailing address

1601 Zimmerman TRL Ste 1
Billings, MT 59102-7654
Phone (406) 248-3303

Other names 1

  • Beartooth Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1144949231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 ZIMMERMAN TRL STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027654",
            "telephone_number": "406-248-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 1ST AVE STE 2",
            "city": "LAUREL",
            "state": "MT",
            "postal_code": "590442100",
            "telephone_number": "406-248-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARTOOTH PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "MCELROY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "SENIOR HR MANAGER",
        "authorized_official_telephone_number": "406-248-3303"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beartooth Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.