Organization Active NPI

Fred J Schwendeman, D.M.D., PC

  • Dental Clinic/Center
  • Bozeman, MT
National Provider Identifier
1154484897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1952 Issued in MT
Legal business name
FRED J SCHWENDEMAN, D.M.D., PC
Practice address
108 N 11TH Ave
Bozeman, MT 59715-3262
Phone
(406) 587-5435
Fax
(406) 587-9093
NPI assigned
Dec 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frederick Joseph Schwendeman, D.M.D.
Title
President
Phone
(406) 587-5435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1952 MT Primary

Addresses

Primary practice location

108 N 11TH Ave
Bozeman, MT 59715-3262

Mailing address

108 N 11TH Ave
Bozeman, MT 59715-3262
Phone (406) 587-5435

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154484897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N 11TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153262",
            "telephone_number": "406-587-5435",
            "fax_number": "406-587-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N 11TH AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153262",
            "telephone_number": "406-587-5435",
            "fax_number": "406-587-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED J SCHWENDEMAN, D.M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHWENDEMAN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-587-5435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MT",
            "license": "1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.