Lindsay Booth Tarkleson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN-DEN-LIC-6078 Issued in MT

Practice address

121 W Kagy Blvd
Bozeman, MT 59715-6000

Phone

(406) 570-1531

NPI assigned

Jul 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gustavus Community Clinic Inc

  • Family Nurse Practitioner
  • Gustavus, AK
  • NPI 1548281215
  NPD (past)
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Gustavus, AK
  • NPI 1649716226
  NPD (past)

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1194165233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W KAGY BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156000",
            "telephone_number": "406-570-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W KAGY BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156000",
            "telephone_number": "406-570-1531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3245 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017809",
            "country_code": "US",
            "telephone_number": "907-463-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARKLESON",
        "first_name": "LINDSAY",
        "middle_name": "BOOTH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1514",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "DEN-DEN-LIC-6078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Adella Tainter, LCPC
• Ryan M Takeshita, PT, DPT
• Darla Tande, PT
• Jason A Tanguay, DDS
• Veronika Magali Tapia Giron, RDN
• Heather Lynn Tasker, APRN, FNP-BC
• Timothy John Tate, LCPC
• Aimee Tau, RMA
• Alexander Taylor
• David Neely Taylor, MD

• Dentist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.