Organization Active NPI

Jason Tanguay, DDS, LLC

Doing business as Mint Dental Studio

  • General Practice Dentistry
  • Bozeman, MT
National Provider Identifier
1164858361
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JASON TANGUAY, DDS, LLC
Doing business as
Mint Dental Studio
Practice address
40 E Mendenhall St
Bozeman, MT 59715-3631
Phone
(406) 586-5880
Fax
(406) 586-5881
NPI assigned
Sep 19, 2013
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Dr. Jason Alexander Tanguay, D.D.S.NPI 1265752042
Title
Owner
Phone
(406) 586-5880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

40 E Mendenhall St
Bozeman, MT 59715-3631

Mailing address

40 E Mendenhall St
Bozeman, MT 59715-3631
Phone (406) 586-5880

Other names 1

  • Mint Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

40 E Mendenhall St
Bozeman, MT 59715
Phone (406) 404-1303

Practitioners & affiliated clinicians

Practitioners 2

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": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1164858361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E MENDENHALL ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153631",
            "telephone_number": "406-586-5880",
            "fax_number": "406-586-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MENDENHALL ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153631",
            "telephone_number": "406-586-5880",
            "fax_number": "406-586-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON TANGUAY, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "TANGUAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-586-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mint Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 19, 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.