Individual provider Active NPI

Chris Allan Blixrud, DDS

  • Dentist
  • Great Falls, MT
National Provider Identifier
1174604110
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN-DEN-LIC-9751 Issued in MT
Practice address
202 2ND Ave S Ste 203
Great Falls, MT 59405-1831
Phone
(406) 791-9267
Fax
(406) 454-7724
NPI assigned
Oct 18, 2006
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10403 MN
Dentist 122300000X DEN-DEN-LIC-9751 MT Primary

Addresses

Primary practice location

202 2ND Ave S Ste 203
Great Falls, MT 59405-1831

Mailing address

601 1St Ave N
Great Falls, MT 59401-2510
Phone (406) 454-6973

Other identifiers 1

IdentifierTypeStateIssuer
296722700OtherMNMN MEDICAL ASS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206003060 MT Practitioner - Dentist 0547573958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN-DEN-LIC-9751MTMDDentist
10403MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Center Incorporated CurrentSince Oct 17, 2023 Accepting new patients
County of Cascade PastSince Nov 27, 2022 Accepting new patients

Locations

115 4th St S
Great Falls, MT 59401
Phone (406) 268-9721

202 2nd Ave S
Ste 203
Great Falls, MT 59405
Phone (406) 791-9267

601 1st Ave N
Great Falls, MT 59401
Phone (406) 454-5074

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1174604110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012510",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 2ND AVE S STE 203",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594051831",
            "telephone_number": "406-791-9267",
            "fax_number": "406-454-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIXRUD",
        "first_name": "CHRIS",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "10403",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-9751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN MEDICAL ASS",
            "identifier": "296722700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.