Organization Active NPI

Montana Roots Dental Care PLLC

  • General Practice Dentistry
  • Helena, MT
National Provider Identifier
1164935573
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2455 Issued in MT
Legal business name
MONTANA ROOTS DENTAL CARE PLLC
Practice address
2744 Colonial Dr
Helena, MT 59601-4947
Phone
(406) 442-0282
NPI assigned
Nov 7, 2017
Last updated
Nov 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Brandi M Truesdell
Title
Office Manager
Phone
(406) 442-0282

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2455 MT Primary
Dental Clinic/Center 261QD0000X 2455 MT

Addresses

Primary practice location

2744 Colonial Dr
Helena, MT 59601-4947

Mailing address

2744 Colonial Dr
Helena, MT 59601-4947
Phone (406) 442-0282

Other identifiers 1

IdentifierTypeStateIssuer
2455OtherMTLICENSE

National Provider Directory

National Provider Directory

Locations

2744 Colonial Dr
Helena, MT 59601
Phone (406) 442-0282

Practitioners & affiliated clinicians

Practitioners 1

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": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1164935573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 COLONIAL DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014947",
            "telephone_number": "406-442-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 COLONIAL DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014947",
            "telephone_number": "406-442-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA ROOTS DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "TRUESDELL",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-442-0282"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2455",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MT",
            "license": "2455",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2455",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.